胸腺瘤术后远期复发的影响因素分析  

An analysis of factors influencing long-term recurrence of thymoma after surgery

作　　者：殷东明[1] 钱海荣[1] 曹彬[2] 曹海龙[2] 

机构地区：[1]如皋市人民医院胸外科,江苏省226500 [2]南京大学医学院附属鼓楼医院胸外科

出　　处：《江苏医药》2016年第10期1147-1149,共3页Jiangsu Medical Journal

摘　　要：目的探讨影响胸腺瘤术后远期复发的相关因素。方法分析115例胸腺瘤病例的临床和随访资料,探讨影响胸腺瘤复发的相关危险因素。结果胸腺瘤患者115例术后随访12～72个月。其中,25例出现了肿瘤复发,复发率21.7%。多元回归分析显示,肿瘤的临床分期晚和瘤体大是胸腺瘤复发的独立危险因素;术后化疗是防止其复发的保护性因素。结论胸腺瘤临床分期较早和瘤体较小提示其术后复发率低;术后辅助化疗可显著降低胸腺瘤的复发率。Objective To investigate the factors influencing long-term recurrence of thymoma after surgery.Methods Surgical resection was performed in 115 patients with thymoma.The patients had been followed up for 12-72 months,of whom 25 cases had tumor recurrence.The factors influencing the recurrence were analyzed.Results The recurrence rate of 115 patients after operation was 21.7%.Multiple regression analysis showed that advanced clinical stage and large tumer volume were the independent risk factors for tumor recurrence and postoperative chemotherapy was a protective factor for preventing tumor recurrence.Conclusion Ealier clinical stage and smaller tumor mass indicate a less incidence of recurrence.Postoperative chemotherapy can significantly reduce the relapse rate of thymoma.

关 键 词：胸腺瘤 肿瘤复发 

分 类 号：R735[医药卫生—肿瘤]