安徽医科大学学报
安徽醫科大學學報
안휘의과대학학보
Acta Universitatis Medicinalis Anhui
2015年
10期
1515-1518
,共4页
余子牛%鲁东%周春泽%唐文静%吕维富
餘子牛%魯東%週春澤%唐文靜%呂維富
여자우%로동%주춘택%당문정%려유부
原发性肝癌%经导管肝动脉化疗栓塞术%生存%回归分析
原髮性肝癌%經導管肝動脈化療栓塞術%生存%迴歸分析
원발성간암%경도관간동맥화료전새술%생존%회귀분석
primary hepatocellular carcinoma%transcatheter arterial chemoembolization%survival%regression analy-sis
回顾性分析接受经导管肝动脉化疗栓塞术( TACE)治疗的原发性肝癌( PHC)患者病史资料,对相关变量进行单因素和多因素回归分析,从而得出TACE治疗后肝癌患者预后和生存影响因素. 单因素分析中乙肝肝硬化背景、肿瘤分期、分型、肝功能分级、甲胎蛋白值、门静脉有无癌栓、有无动-静/门脉瘘、年龄对PHC行介入治疗患者生存时间有一定影响,Cox多因素回归分析显示肿瘤分期、门脉有无癌栓、年龄及乙肝肝硬化背景对患者生存期影响显著.
迴顧性分析接受經導管肝動脈化療栓塞術( TACE)治療的原髮性肝癌( PHC)患者病史資料,對相關變量進行單因素和多因素迴歸分析,從而得齣TACE治療後肝癌患者預後和生存影響因素. 單因素分析中乙肝肝硬化揹景、腫瘤分期、分型、肝功能分級、甲胎蛋白值、門靜脈有無癌栓、有無動-靜/門脈瘺、年齡對PHC行介入治療患者生存時間有一定影響,Cox多因素迴歸分析顯示腫瘤分期、門脈有無癌栓、年齡及乙肝肝硬化揹景對患者生存期影響顯著.
회고성분석접수경도관간동맥화료전새술( TACE)치료적원발성간암( PHC)환자병사자료,대상관변량진행단인소화다인소회귀분석,종이득출TACE치료후간암환자예후화생존영향인소. 단인소분석중을간간경화배경、종류분기、분형、간공능분급、갑태단백치、문정맥유무암전、유무동-정/문맥루、년령대PHC행개입치료환자생존시간유일정영향,Cox다인소회귀분석현시종류분기、문맥유무암전、년령급을간간경화배경대환자생존기영향현저.
The medical records of patients treated with TACE were retrospectively reviewed, the related variables were analyzed by single and multiple regression analysis, factors affecting prognosis and survival time of patients af-ter TACE were obtained. By single-factor analysis, background of hepatitis B cirrhosis, tumor stage, type, Child-Pugh,AFP,tumor thrombus in portal vein, arterial-portal/venous fistula and age had certain influence on the prog-nosis and survival time of the PHC patients treated with TACE, while multiple-factor analysis showed that stage, tumor thrombus in portal vein,age and hepatitis B cirrhosis had obvious influence on them.