偶发肾癌的预后分析  

The prognostic analysis of incidental renal cell carcinomas

作　　者：崔同跃[1] 董胜国[1] 

机构地区：[1]青岛大学医学院附属医院泌尿外科,山东青岛266003

出　　处：《现代泌尿外科杂志》2007年第2期77-78,共2页Journal of Modern Urology

摘　　要：目的探讨和分析偶发肾癌的临床特点、生存率。方法对346例肾癌的临床资料进行回顾性分析并进行生存情况的随访;分为2组,偶发肾癌153例,非偶发肾癌193例,按Robson分期统计各组的病例数,用SPSS 11.5统计软件处理。结果偶发性肾癌与非偶发肾癌Robson分期的构成比不同,偶发癌分期较低(2χ=31.741,P<0.01)。偶发癌3、5、10年生存率为84.20%、72.86%、67.15%,非偶发癌为67.78%、60.54%、47.37%,两组相比差异显著(2χ=8.53,P<0.05),Kaplan-meier分析显示相同分期偶发癌与非偶发癌生存率差别无统计学意义,COX风险比例模型显示肾癌是否偶发不是影响愈后的因素(β=1.367,P=0.179),分期是影响愈后的独立因素(β=2.44,P<0.01)。结论偶发肾癌多低分期,术后生存率较非偶发肾癌高,但同一分期内偶发肾癌与非偶发肾癌生存率差别无统计学的意义,偶发不是影响愈后的独立因素。Objective To explore and analyse the clinical characteristics and survival rate of incidental renal cell carcinoma（RCC）. Methods Clinical data of 346 cases were reviewed and analysed. Patiens were divided according to Robson criteria into two groups, 153 cases of incidental RCC and 193 non-incidental RCC. All data were processed by software SPSS 11.5. Results The Robson stage of the incidentals is significantly lower than that of the non-incidentals （ x^2 = 31. 741, P〈0.01）. The 3, 5 and 10-year survival rate of incidentals was 84.20%, 72.86% and 67.15% respectively; that of non-incidentals was 67.78%, 60.54% and 47.37% ; the difference was significant （x^2=8.53, P〈0.05）. There was no difference between the incidental RCC and the non-incidentals of the same stages with Kaplan-meier method. COX propotional hazard model showed incidental detecting was not the prognostic factor （β = 1. 367, P=0. 179）, while clinical stage was （β = 2.44, P〈0.01）. Conclusion The incidental RCC had low stage and higher survival rate after operation, but there is no difference in survival rate between incidental RCC and non-incidentals of the same stages.

关 键 词：肾肿瘤 癌 预后 

分 类 号：R737.11[医药卫生—肿瘤]