影响原发性肝癌术后行TACE 肿瘤复发因素的分析
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张斌, Email: zhangbin1899@yahoo.com.cn

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Analysis of associated factors for recurrence of primary liver cancer after resection and postoperative TACE
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    目的:探讨影响原发性肝癌术后行经肝动脉化疗栓塞(TACE)患者无瘤生存的因素。 方法:回顾性分析121例手术切除后1~2个月内行TACE治疗的原发性肝癌患者的临床及随访资料,计算患者治疗后的累积无瘤生存率,分析影响无瘤生存的相关因素。 结果:121例患者术后1,2,3年的无瘤生存率分别为72.73%,46.21%,28.93%。经单因素分析筛选后,进入COX比例风险模型的各临床变量中,肿瘤的分化程度(P=0.040),肿瘤大小(P=0.002)及有无血管癌栓(P=0.039)对模型贡献有统计学意义。 结论:分化程度、肿瘤的大小及有无血管癌栓是影响肝癌术后行TACE近期复发的独立危险因素。

    Abstract:

    Objective: To analyze the factors affecting the tumor-free survival of primary liver cancer (HCC) patients undergoing postoperative transarterial chemoembolization (TACE). Methods: The clinical and follow-up data of 121 HCC patients undergoing TACE within 1-2 months after hepatectomy were retrospectively analyzed. The cumulative tumor-free survival rates of the patients after treatment were calculated, and the associated factors for tumor-free survival were determined. Results: The 1-, 2- and 3-year tumor-free survival rates for the 121 patients were 72.73%, 46.21%, and 28.93%, respectively. Among the clinical variables that entered the COX proportional hazards model after screen by univariate analyses, the degree of tumor differentiation (P=0.040), tumor size (P=0.002) and the absence or presence of vascular tumor thrombus (P=0.039) made statistically significant contributions to the model. Conclusion: Degree of tumor differentiation, tumor size and the presence of vascular thrombus are independent risk factors for HCC recurrence within a short period of time after postoperative TACE treatment.

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孙滨|张斌|张顺|王文涛|王长征|赵勇.影响原发性肝癌术后行TACE 肿瘤复发因素的分析[J].中国普通外科杂志,2013,22(6):752-755.
DOI:10.7659/j. issn.1005-6947.2013.06.018

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  • 收稿日期:2013-01-19
  • 最后修改日期:2013-03-29
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  • 在线发布日期: 2013-06-15