支气管类癌的治疗与预后分析

Treatment and prognosis analysis of bronchial carcinoid

目的 :探讨支气管类癌的治疗和影响预后因素。方法 :回顾性研究本院 14例支气管类癌病人的诊治情况 ,并用SPSS统计软件包的Kaplan Meier和Cox模型 ,分析比较 14例支气管类癌和相同性别 ,相同分期 ,年龄近似 ,手术年份近似的 14例肺鳞癌和 14例肺腺癌的累积生存率和影响生存率的因素。结果 :支气管类癌的 3、5、10年的累积生存率分别为 10 0 %、85 7%、75 4 % ;非支气管类癌为 65 6%、4 9 2 %、3 2 8%。两者比较 ,Breslow =4 98,P=0 0 2 5 7。多因素分析显示 ,影响生存率的主要因素为病理类型。结论

Objective:To assess the treatment and prognosis factors in patients with bronchial carcinoid. Materials and Methods:Retrospective study of 14 patients with bronchial carcinoid,compared with 14 patients with lung squamous cell carcinoma and 14 patients with lung adenocarcinoma,Which had same sex,xame stages,approximative age and operative years.The cumulative survival and influencing factors were analyzed and compared by the Kaplan Meier and Cox model of SPSS. Results:The 3,5,10 years cumulative survivals of the bronchial carcinoid patients were 100%,85 7%,75 4%.They were much higher than in squamous cell carcinoma and adenocarcinoma(Breslow=4 98,P=0 0257).Multivariate analysis showed that pathological types were the most important influencing factors according to the cumulative survival. Conclusions:The prognosis of bronchial carcinoid is better than that of squamous cell carcinoma and adenocarcinoma of lungs in the same stages.