影响喉癌患者预后的多因素分析
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皇甫辉,Email:13934518228@163.com


Analysis of multiple factors affecting the postoperative survival prognosis of patients with laryngeal cancer
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    摘要:

    目的研究喉癌患者术后的远期疗效,并分析影响喉癌患者预后的相关因素。方法采用回顾性研究的方法,将2007年1月—2016年7月就诊于山西医科大学第一医院耳鼻咽喉头颈外科并行手术治疗的325例喉癌患者纳入研究,其中男296例,女29例,男女比例10.21∶1;年龄18~84岁平均年龄(62±9.84)岁。结果本组喉癌患者5年累计总体生存率(COS)、疾病特异性生存率(CDSS)、无病生存率(DFS)分别为75.4%、78.2%、71.2%。单因素分析发现年龄、临床分期、T分级、淋巴结转移、复发、手术方式各临床因素间生存分布的差异具有统计学意义(P<0.05)。多因素分析显示年龄、复发、临床分期明显降低生存率(P<0.05)。结论喉癌术后COS较高,首选手术治疗是可行的,复发、临床分期及年龄是影响喉癌患者术后生存的独立危险因素。

    Abstract:

    Abstract:ObjectiveTo study the longterm efficacy and related influencing factors in patients with laryngeal cancer after surgery.MethodsThe clinical data of 325 patients with laryngeal cancer were collected and analyzed by a retrospective study. The patients were admitted to Department of Otolaryngology Head and Neck Surgery, First Clinical Medical College, Shanxi Medical University from January 2007 to July 2016, including 296 males and 29 females. The ratio of male to female was 10.21∶1. The average age was (62±9.84) years.ResultsThe overall 5year survival rate, diseasespecific survival rate, and diseasefree survival rate of the cumulative survival curve were 75.4%, 78.2%, and 71.2%, respectively. Univariate analysis showed that there were significant differences between groups for the survival distribution of all clinical factors, including age, clinical stage, T grade, lymph node metastasis, recurrence, and surgical approach (P<0.05). Multivariate analysis showed that age, recurrence, and clinical stage significantly reduced the survival rate (P<0.05).ConclusionsThe 5year survival rate of laryngeal cancer patients is high postoperative, and the first choice of surgical treatment is feasible. Recurrence, clinical stage and old age are independent risk factors for postoperative survival of patients with laryngeal cancer.

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宋晓霞,皇甫辉,李莉.影响喉癌患者预后的多因素分析[J].中国耳鼻咽喉颅底外科杂志,2020,26(3):306-311

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