50例滑膜肉瘤临床分析

Clinical analysis on 50 patients with synoviosarcoma

本文对滑膜肉瘤５０例临床进行分析并分析不同治疗方法对预后的影响。发现术后放疗组和单纯手术组的３、５年生成率分别为５２．４％、３８．１％和４２．１％、２６．３％。局部复发率分别为１４．３％和５２．６％（Ｐ＜０．０５）。患者年龄对预后影响不大。瘤体越大，预后越差。本组病例治疗失败重要原因之一是血行转移（４６％）。无明显症状而延误诊治、不适当的穿刺或活检、局部复发而多次手术可能是增加血行转移的原因。早期作出正确的诊断。

The factors of influencing prognosis on synoviosarcoma treated by various methods was analyzedThe 3-and 5-year survival rates were 524% and 381% in postoperative radiotherapy plus surgery group,and 421% and 263% in surgery alone group(P>005)Local recurrence rates were 143% and 526% in the above two groups (P<005)The patient's age did not related to prognosisThe larger of the tumour,the worse of the prognosis442% patients died of distant metastasisDelay of treatment,improper aspiration or excision biopsy and repeated surgery for recurrence are prone to distant metastasis. \ \