中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2013年
11期
1508-1510
,共3页
喉肿瘤/外科学%治疗结果%危险因素%预后
喉腫瘤/外科學%治療結果%危險因素%預後
후종류/외과학%치료결과%위험인소%예후
Laryngeal neoplasms/surgery%Treatment outcome%Risk factors%Prognosis
目的 探究并分析手术治疗喉癌患者的效果,以及影响手术效果的因素,为更好的治疗喉癌提供参考依据.方法 对本院2003年5月至2008年5月喉癌患者80例的临床资料进行回顾性分析,观察手术治疗效果,并对影响患者预后的因素进行单因素和多因素Logistic回归分析.结果 80例患者中1、3、5年的生存率分别为98.75％(79/80);76.25％(61/80);51.25％(41/80).单因素结果显示:年龄、肿瘤的原发部位、是否存在淋巴结转移、肿瘤大小、TNM分期和治疗方式对患者预后影响有着统计学意义(P＜0.01).多因素Logistic回归分析发现:肿瘤原发部位、淋巴结转移、TNM分期和治疗方式是影响患者预后的独立的危险因素,具有统计学意义(P＜0.05).结论 肿瘤原发部位、TNM分期、淋巴结转移和治疗方式是影响喉癌预后的独立危险因素;喉功能保全性手术是治疗喉癌较为理想的方法.
目的 探究併分析手術治療喉癌患者的效果,以及影響手術效果的因素,為更好的治療喉癌提供參攷依據.方法 對本院2003年5月至2008年5月喉癌患者80例的臨床資料進行迴顧性分析,觀察手術治療效果,併對影響患者預後的因素進行單因素和多因素Logistic迴歸分析.結果 80例患者中1、3、5年的生存率分彆為98.75％(79/80);76.25％(61/80);51.25％(41/80).單因素結果顯示:年齡、腫瘤的原髮部位、是否存在淋巴結轉移、腫瘤大小、TNM分期和治療方式對患者預後影響有著統計學意義(P＜0.01).多因素Logistic迴歸分析髮現:腫瘤原髮部位、淋巴結轉移、TNM分期和治療方式是影響患者預後的獨立的危險因素,具有統計學意義(P＜0.05).結論 腫瘤原髮部位、TNM分期、淋巴結轉移和治療方式是影響喉癌預後的獨立危險因素;喉功能保全性手術是治療喉癌較為理想的方法.
목적 탐구병분석수술치료후암환자적효과,이급영향수술효과적인소,위경호적치료후암제공삼고의거.방법 대본원2003년5월지2008년5월후암환자80례적림상자료진행회고성분석,관찰수술치료효과,병대영향환자예후적인소진행단인소화다인소Logistic회귀분석.결과 80례환자중1、3、5년적생존솔분별위98.75％(79/80);76.25％(61/80);51.25％(41/80).단인소결과현시:년령、종류적원발부위、시부존재림파결전이、종류대소、TNM분기화치료방식대환자예후영향유착통계학의의(P＜0.01).다인소Logistic회귀분석발현:종류원발부위、림파결전이、TNM분기화치료방식시영향환자예후적독립적위험인소,구유통계학의의(P＜0.05).결론 종류원발부위、TNM분기、림파결전이화치료방식시영향후암예후적독립위험인소;후공능보전성수술시치료후암교위이상적방법.
Objective To investigate the influencing factors of surgical treatment of patients with laryngeal cancer.It could provide the better way to treat laryngeal cancer.Methods A total of 80 patients with laryngeal cancer from May 2003 to May 2008 in our hospital were studied.All patients were treated by surgery.The effect of surgery would be observed.The influencing factors and the effect of surgery were analyzed by Logistic.Results A total of 80 patients in the 5-year survival rates were 98.75％ (79/80),76.25％ (61/80),and 51.25％ (41/80).Univariate results showed that age,primary site of the tumor,lymph node metastasis,tumor size,tumor node metastasis(TNM) stage,and treatment modality significantly impacted on the prognosis of patients (P ＜0.01).Multivariate Logistic regression analysis showed that the primary site of the tumor,lymph node metastasis,TNM staging and therapy were independent prognostic risk factors with a statistically significant difference(P ＜ 0.05).Conclusions The prognosis of laryngeal cancer is affected by many factors,the primary sites of tumor,TNM staging,lymph node metastasis,and treatment methods were independent prognostic factors.Laryngeal function preservation surgery is an ideal method in the treatment of laryngeal cancer.
