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大肠癌患者生存时间影响因素分析

Analysis on influencing factors of survival time of colorectal cancer

  • 摘要: 目的 探讨大肠癌患者生存时间的影响因素。方法 收集118例经病理学确诊、临床和随访资料完整的大肠癌患者资料,运用寿命表法估计生存率并使用Log-Rank检验进行比较。采用Cox比例风险回归模型进行因素的筛选和评价。结果 大肠癌患者1,3,5年生存率分别为83%,71%,67%。Log-Rank检验结果显示,国际肿瘤分期标准(TNM)分期结果、淋巴结有无转移和治疗方式与大肠癌患者生存时间相关。Cox比例风险回归模型筛选结果表明,年龄、治疗方式和TNM分期的结果对大肠癌患者生存时间有显著影响。结论 TNM分期结果的是影响大肠癌患者预后的重要影响因素,在大肠癌患者的治疗中应充分考虑到这一因素。

     

    Abstract: Objective To explore the influence of clinicopathological factors on survival time of colorectal cancer,and to provide evidence for judging prognosis and choosing therapy method.Methods 118 cases with colorectal cancer were selected to study.Life table method was used to calculate survival rate.Log-rank test and proportional-hazards regression model (Cox model)were used to do univariate and multivariate analysis.Results The study showed that over-all survival rates were 83% at 1 year,71% at 3 years and 67% at 5 years.The result of multivariate Cox model analysis showed that the age,TNM stage and therapy method were independent prognostic factors of CRC.Conclusion TNM stage is important factor of influencing survival time for colorectal cancer patients,and it should be fully considered in therapy.

     

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