成人肝母細(xì)胞瘤1例報(bào)道并國(guó)內(nèi)文獻(xiàn)資料分析
發(fā)布時(shí)間:2018-04-06 01:20
本文選題:成人 切入點(diǎn):肝母細(xì)胞瘤 出處:《中國(guó)普外基礎(chǔ)與臨床雜志》2015年02期
【摘要】:目的報(bào)道我院1例診斷為成人肝母細(xì)胞瘤的病例,并檢索國(guó)內(nèi)文獻(xiàn),收集其隨訪資料,對(duì)其進(jìn)行單因素及多因素分析,以探討影響成人肝母細(xì)胞瘤的預(yù)后因素,為治療提供參考。方法回顧性分析我院收治的1例及檢索國(guó)內(nèi)文獻(xiàn)報(bào)道的41例成人肝母細(xì)胞瘤患者的臨床資料,使用SPSS 19.0軟件進(jìn)行統(tǒng)計(jì)分析,采用KaplanMeier法計(jì)算生存率及中位生存時(shí)間,進(jìn)行單因素分析;各因素亞組間生存分析比較采用log-rank檢驗(yàn),對(duì)差異統(tǒng)計(jì)學(xué)意義的因素進(jìn)行Cox回歸分析。結(jié)果 Log-rank檢驗(yàn)證實(shí),發(fā)病年齡≥70歲、多發(fā)腫瘤、姑息性治療、病理學(xué)檢測(cè)結(jié)果為胚胎型者生存率明顯降低(P0.05);Cox多因素分析并未發(fā)現(xiàn)其獨(dú)立危險(xiǎn)因素。結(jié)論成人肝母細(xì)胞瘤的病理組織學(xué)類型、腫瘤數(shù)目及治療方式可能是影響肝母細(xì)胞瘤患者預(yù)后的危險(xiǎn)因素,有待進(jìn)一步積累大樣本量證實(shí)。
[Abstract]:Objective to report a case of adult hepatoblastoma diagnosed in our hospital, and to search the domestic literature, collect the data of follow-up, and make univariate and multivariate analysis to explore the prognostic factors of adult hepatoblastoma.To provide a reference for treatment.Methods the clinical data of 41 adult patients with hepatoblastoma were retrospectively analyzed and analyzed by SPSS 19.0 software. The survival rate and median survival time were calculated by KaplanMeier method.Univariate analysis and survival analysis among subgroups were carried out by log-rank test. Cox regression analysis was performed on the factors with statistical significance.Results the age of onset 鈮,
本文編號(hào):1717336
本文鏈接:http://sikaile.net/yixuelunwen/zlx/1717336.html
最近更新
教材專著