影响胶质母细胞瘤全切术后患者预后的相关因素分析

Affect the Glioblastoma Cut all of the Factors of the Prognosis of Patients with Postoperative

目的分析影响胶质母细胞瘤全切术后患者预后的相关因素。方法方便选取该院2010年3月—2011年2月期间收治的70例胶质母细胞瘤全切患者,所有患者均经过手术切除90%以上的肿瘤,意识及精神状况良好。男34例,女36例,年龄<55岁47例,≥55岁23例,分析患者的生存率及影响患者预后恢复的因素。结果术后20、30、60个月,生存率为77.14%、15.71%、7.14%;患者术前KPS评分、肿瘤部位、年龄、手术切除程度、放化疗及二次手术均影响患者预后的恢复。结论影响胶质母细胞瘤患者预后因素与KPS评分、肿瘤部位、年龄、手术切除程度、二次手术等因素相关,采用放化治疗可有效的延长患者的生命,提高生存率。

Objective To analyze impact glioblastoma cut all the related factors of postoperative outcome of patients. Methods Convenient select our hospital during March 2010-February 2011 treated 70 cases of patients with glioblastoma full cut, all patients after surgical removal of more than 90% of the tumor, consciousness and spirit in good condition. 34 cases were male, 36 cases of female,age 〈55 47 Cases, ≥55 years old,23 cases, analysis of the patient＇s survival rate and the factors influencing prognosis of patients with recovery. Results 20, 30, 60 months after operation and survival rate was77.14%, 15.71%, 7.14%; Patients with preoperative KPS score, tumor location, age, the degree of surgical removal, radiation and chemotherapy, and influence the prognosis of patients with secondary surgery recovery. Conclusion The factors affecting the prognosis of patients with glioblastoma and KPS score, tumor location, age, degree of resection, secondary surgery and other related factors, using put treatment can effectively extend the life of the patients, improve the survival rate.