重庆医学
重慶醫學
중경의학
Chongqing Medicine
2015年
33期
4660-4662
,共3页
依力夏提?先木西丁%阿迪拉?吐尔洪%李涌涛%吐鲁洪?沙列尔%朱丽萍
依力夏提?先木西丁%阿迪拉?吐爾洪%李湧濤%吐魯洪?沙列爾%硃麗萍
의력하제?선목서정%아적랍?토이홍%리용도%토로홍?사렬이%주려평
乳腺肿瘤%体质指数%复发%肿瘤转移
乳腺腫瘤%體質指數%複髮%腫瘤轉移
유선종류%체질지수%복발%종류전이
breast neoplasms%body mass index%recurrence%neoplasms metastasis
目的：探讨 BMI 对乳腺癌患者规范化治疗后复发转移的影响。方法收集1061例诊断为乳腺癌并经规范化治疗的患者肿瘤分期、绝经状态、年龄、民族、免疫组化结果、身高、体质量等资料。随访时间2～62个月，中位随访时间为48个月。分析 BMI 变化对乳腺癌患者肿瘤复发转移的影响。结果乳腺癌复发转移患者 BMI 变化（1．2375±0．8804）较未复发转移患者（0．7042±0．5338）有显著差异（t＝8．092，P＝0．000），BMI 上升趋势、平坦趋势和下降趋势之间差异显著（P＝0．000），BMI 上升趋势的乳腺癌患者肿瘤复发转移风险大。结论 BMI 持续增高增加乳腺癌患者肿瘤复发转移风险，维持合理的体质量有助于乳腺癌复发转移的防治。
目的：探討 BMI 對乳腺癌患者規範化治療後複髮轉移的影響。方法收集1061例診斷為乳腺癌併經規範化治療的患者腫瘤分期、絕經狀態、年齡、民族、免疫組化結果、身高、體質量等資料。隨訪時間2～62箇月，中位隨訪時間為48箇月。分析 BMI 變化對乳腺癌患者腫瘤複髮轉移的影響。結果乳腺癌複髮轉移患者 BMI 變化（1．2375±0．8804）較未複髮轉移患者（0．7042±0．5338）有顯著差異（t＝8．092，P＝0．000），BMI 上升趨勢、平坦趨勢和下降趨勢之間差異顯著（P＝0．000），BMI 上升趨勢的乳腺癌患者腫瘤複髮轉移風險大。結論 BMI 持續增高增加乳腺癌患者腫瘤複髮轉移風險，維持閤理的體質量有助于乳腺癌複髮轉移的防治。
목적：탐토 BMI 대유선암환자규범화치료후복발전이적영향。방법수집1061례진단위유선암병경규범화치료적환자종류분기、절경상태、년령、민족、면역조화결과、신고、체질량등자료。수방시간2～62개월，중위수방시간위48개월。분석 BMI 변화대유선암환자종류복발전이적영향。결과유선암복발전이환자 BMI 변화（1．2375±0．8804）교미복발전이환자（0．7042±0．5338）유현저차이（t＝8．092，P＝0．000），BMI 상승추세、평탄추세화하강추세지간차이현저（P＝0．000），BMI 상승추세적유선암환자종류복발전이풍험대。결론 BMI 지속증고증가유선암환자종류복발전이풍험，유지합리적체질량유조우유선암복발전이적방치。
Objective To investigate the effect of body mass index (BMI) on breast cancer recurrence and metastasis after standard treatment .Methods Clinical data such as tumor stage ,menopausal status ,age ,ethnicity ,Immunohistochemical results , height ,weight of 1 061 patients diagnosed with breast cancer from July 2009 to August 2014 in hospital were collect .All patients were standard treated .The follow‐up time ranged from 2 to 62 months ,and median follow‐up time was 48 months .Chi‐square test and t‐test analysis were used to analyze the influence of BMI change to breast cancer recurrence and metastasis .Results Changes of BMI in breast cancer recurrence and metastasis patients was (1 .237 5 ± 0 .880 4) ,those without recurrence and metastasis in pa‐tients was(0 .704 2 ± 0 .533 8) ,the difference was statistically significant (t= 8 .092 ,P= 0 .000) ,body mass index change between the rise trend ,flat trend and declined trend were significantly different (P= 0 .000) ,BMI variation in the rise trend had the biggest risk of tumor recurrence and metastasis in breast cancer patients .Conclusion Sustained in BMI the risk of breast cancer recurrence and metastasis .Maintain a reasonable body weight helps prevention of breast cancer recurrence and metastasis .
