膀胱移行细胞癌患者预后因素的多元分析

Multivariable analysis of survival in patients with tran-sitional cell bladder carcinoma

作者对８２例膀胱移行细胞癌患者的肿瘤分级、浸润程度、肿瘤大小、部位、数量、基部形态、手术方式及年龄８个因素与预后的关系进行了探讨。在单因素分析中，除年龄和手术方式外，其它各因素均与预后密切相关；在多因素分析中发现组织学分级是最重要的预后指标，其次为肿瘤的发生部位和浸润深度，其它因素统计学差异无显著性。作者认为不应忽视肿瘤部位对患者预后的影响。

AbstractIn 82 transitional cell bladder cancer patients withadequate follow-up,the prognostic value of histologi-cal grade,depth of invasion,size,site,appearance,number of primary tumours,surgical treatment andages of patients were assessed.Univariable analysisshowed the statistically significant relation of histologi-cal grade,depth of invasion,size,site,appearance andnumber of turnours to survival.Survival analysis withCox's regression model Indicated that the histologicalgrade is the most important prognostic factor,followedby site of tumours and depth of invasion.The resultssuggest that the information of site should not be omit-ted.