原发性肝癌术后复发现状和影响因素分析  

Status and influencing factor analysis of recurrence of primary liver cancer

作　　者：袁克文[1] 王湘辉[1] 肖毅[1] 任彦顺[1] 党政[1] 

机构地区：[1]兰州军区兰州总医院肝胆外科,甘肃730050

出　　处：《检验医学与临床》2013年第17期2248-2249,2251,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨原发性肝癌术后复发现状和危险因素。方法采用自行制定的自编问卷收集该院2010年2月至2011年2月收治的189例原发性肝癌患者的临床资料,应用SPSS19.0对收集到的数据进行描述性分析和二分类Logistic回归分析以找出原发性肝癌术后复发现状和影响因素,为采取针对性的预防干预措施提供参考依据。结果原发性肝癌患者术后复发率为23.81%。病理切缘残留阳性、术前焦虑情绪、术前抑郁情绪、血管侵犯是原发性肝癌患者复发的危险因素,肿瘤分化程度高是原发性肝癌患者复发保护因素。结论原发性肝癌复发率较高,其发生受多方面因素影响。Objective To investigate the primary liver cancer recurrence status and risk factors .Methods Clinical data of 189 cases of patients with primary liver cancer ,treated in this hospital form Feb .2010 to Feb .2011 , were collected by using self-developed questionnaires .All data were conducted descriptive analysis and binary logistic regression analysis by using SPSS19 .0 software to explore the status and impact factors of the recurrence of primary liver cancer .Results In patients with primary liver cancer ,recurrence rate was 23 .81% .Positive residual at patho-logical resection margin ,preoperative anxiety ,preoperative depression and vascular invasion were risk factors cau-sing recurrence ,but high degree of tumor differentiation was protective factors .Conclusion Recurrence rate of pri-mary liver cancer could be high ,and might be influenced by many factors .

关 键 词：原发性肝癌 复发 影响因素 横断面调查 

分 类 号：R512.62[医药卫生—内科学]