發(fā)布時(shí)間：2019-01-08 10:00

【摘要】：目的·分析骨盆軟骨肉瘤臨床特點(diǎn)和預(yù)后因素,為臨床診治提供參考。方法·收集73例軟骨肉瘤患者病例資料,其中24例為骨盆軟骨肉瘤。總結(jié)骨盆軟骨肉瘤的臨床特點(diǎn),分析其預(yù)后因素。結(jié)果·24例骨盆軟骨肉瘤患者中,男女比1.4:1,中位年齡43.5歲。按Enneking骨盆腫瘤分區(qū),Ⅰ區(qū)5例,Ⅱ區(qū)14例,Ⅲ區(qū)5例;組織學(xué)分級(jí)為軟骨肉瘤I級(jí)的1例,Ⅱ級(jí)15例,Ⅲ級(jí)8例;組織學(xué)類型為普通中央型17例,去分化型3例,繼發(fā)型2例,黏液型、間質(zhì)型各1例。24例患者3、5和10年總生存率分別為(82.2±8.1)%、(77.3±8.9)%、(52.4±12.1)%。骨盆軟骨肉瘤手術(shù)切除后局部復(fù)發(fā)率(83.3%)高于其他部位(34.7%),差異有統(tǒng)計(jì)學(xué)意義(P=0.000);最終接受截肢手術(shù)的比例(50.0%)也高于其他部位(20.4%),差異有統(tǒng)計(jì)學(xué)意義(P=0.000);但2組總生存時(shí)間比較,差異無統(tǒng)計(jì)學(xué)意義(P=0.216)。結(jié)論·骨盆軟骨肉瘤局部復(fù)發(fā)率較高,更易導(dǎo)致截肢;術(shù)后較早復(fù)發(fā),提示其預(yù)后不佳。
[Abstract]:Objective to analyze the clinical features and prognostic factors of pelvic chondrosarcoma. Methods 73 cases of chondrosarcoma were collected, including 24 cases of pelvic chondrosarcoma. To summarize the clinical features of pelvic chondrosarcoma and analyze its prognostic factors. Results in 24 patients with pelvic chondrosarcoma, the ratio of male to female was 1.4: 1, with a median age of 43.5 years. According to the division of pelvic tumor of Enneking, there were 5 cases in zone 鈪，

本文編號(hào)：2404448