老年喉癌患者手术效果及预后因素研究

Analysis on elderly patients with laryngeal cancer surgical treatment and prognostic factor

目的对老年喉癌患者手术的疗效进行分析并对其预后的因素进行探讨。方法选取来笔者所在医院进行治疗的老年喉癌患者285例,对其临床资料进行回顾性分析,对预后影响因素采用统计学方法进行筛选。结果所有研究对象的1年的生存率为95.4%,3年的生存率为69.8%,5年生存率为56.1%。多因素的分析结果表明患者预后的独立因素为原发部位、淋巴结转移、TNM分期及治疗方式(P<0.05)。结论老年喉癌的治疗方法中侯功能保全性手术疗效较为理想,患者生存率提高的关键是早期对疾病进行诊断。

Objective To analyze the efficacy of surgery for elderly patients with laryngeal cancer and discuss its prognostic factors. Methods 285 cases were selected from the author＇s hospital,the clinical data were retrospectively analyzed.Its prognostic factors were analyze with Statistical methods. Results 1-year survival rate of all the research object was 95.4%,3-year survival rate was 69.8%,the 5-year survival rate was 56.1%.Muhi-factor analysis showed that independent prognostic factors for the primary tumor site, TNM stage,lymph node metastasis,and treatment modalities. Conclusion Elderly patients with laryngeal cancer treatment in Hou function preservation surgical treatment ideal patient survival rates improve key to early diagnosis of disease.