摘要
目的探讨膀胱肿瘤术后复发的危险因素,以提高肿瘤的治疗效果。方法选择肿瘤分期、肿瘤分级、肿瘤形态、肿瘤大小、多发性、肿瘤来源、发生部位、组织来源、尿细胞学检查、手术方式、及术后规律随访与否等十一项候选指标,用Cox逐步比例-风险模型进行回归分析,筛选能够预测膀胱肿瘤术后复发的相关性因素。结果膀胱肿瘤分期、形态、大小、来源、肿瘤的多发性及术后定期随访历史等六项指标与膀胱肿瘤术后复发直接相关。结论分析六项影响因子可以评估膀胱肿瘤的复发风险,对临床膀胱肿瘤的治疗具有重要意义。
Objective to study the recurrent factor of bladder tumor after surgery for promotion of therapeutic efficacy. Methods select tumor stage.tumor grade.tumor size.tumor configuration.tumor histology.multiplicity.recurrance history. resident area.urine cytology.surgery .follow-up history as screening target to analyze by Cox proportion-hazard model, and screen dependent factor which can be used to predict tumor recurrent risk after surgery. Result tumor stage.tumor appearance.tumor size.recurrance history.tumor multiplicity and history of regular follow-up are related to tumor recurrence after surgery. Conclusion aggregate analyze these hazard factors can evaluate recurrent risk of tumor,and it is significant to therapy of bladder tumor.
出处
《遵义医学院学报》
2008年第1期23-27,共5页
Journal of Zunyi Medical University
关键词
膀胱肿瘤
复发
多因素分析
Bladder tumor
recurrence
Multivariate analysis