266例乳腺癌术后患者5年生存分析  

The 5-year Survival Analysis of 266 Postoperative Breast Cancer Patients

作　　者：赵婧[1,2] 刘胜[1] 刘佳 

机构地区：[1]上海中医药大学附属龙华医院乳腺科,上海200032 [2]中国人民解放军第二军医大学附属长征医院中医科,上海200003 [3]陕西省肿瘤医院胸外科,陕西西安710061

出　　处：《中国中医药信息杂志》2011年第10期21-23,共3页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：上海市重点学科建设基金(T0304);上海市教委中医外科创新团队(2005)

摘　　要：目的探讨影响乳腺癌患者术后预后的相关因素。方法回顾性研究266例乳腺癌术后患者,采用Cox多因素模型的分析方法分析其年龄、临床分期、原发肿瘤大小、淋巴结数、病理类型、治疗方案等变量与无病生存率的关系。结果仅有治疗方案、淋巴结数、原发肿瘤大小三者对无病生存率的影响有统计学意义。其中乳癌术后方的中医治疗作为独立的影响因素,对无病生存率和转移风险率的影响有统计学意义(P=0.012)。结论早发现、早诊断,并配合中医药治疗是提高乳腺癌术后患者5年生存率的关键。Objective To investigate the influencing factors of postoperative prognosis of breast cancer patients.Methods Retrospectively studied 266 postoperative breast cancer patients and analyzed the relation between age,clinical stage,tumor size,lymph node quantity,histologic type,treatment and disease-free survival by using Cox multiple model.Results The treatment scheme,lymph node quantity and tumor size had significant influence on breast cancer recurrence rate.Amongst,as an independent factor,TCM treatment had significant influence on disease-free survival rate and rate of transfer risk（P=0.012）.Conclusion Detecting earlier,diagnosing earlier and combining TCM treatment with normal treatments are the key factors to improve the 5-year survival rate of postoperative breast cancer patients.

关 键 词：乳腺癌 预后 生存分析 中医药疗法 

分 类 号：R273.79[医药卫生—中西医结合]