原发性肝癌患者介入治疗预后影响因素分析  

Analysis of Prognostic Factors in Patients with Primary Liver Cancer after Interventional Therapy

作　　者：谢景桂 XIE Jing-gui(Radiology Department,Wuzhong People’s Hospital,Suzhou,Jiangsu Province,215128 China)

机构地区：[1]江苏省苏州市吴中人民医院放射科,江苏苏州215128

出　　处：《中外医疗》2018年第3期99-101,共3页China & Foreign Medical Treatment

摘　　要：目的探讨原发性肝癌患者介入治疗的预后影响因素。方法方便选取2012年1月—2017年9月该院收治的60例原发性肝癌介入治疗患者为例,依据术后3个月QOL-LC评分分为A组(高于或等于术前,30例)和B组(低于术前,30例),对比观察两组临床资料,Logistic回归分析影响原发性肝癌患者介入治疗预后的影响因素。结果 A组年龄<40岁7例(23.33%),肝功能Child C级4例(13.33%),TNM分期III期4例(13.33%),浸润型生长方式6例(20.00%),联合用药25例(83.33%),心态良好23例(76.67%),与对照组比较差异有统计学意义(P<0.05)。结论年龄、肝功能分级、TNM分期、门脉栓塞、联合用药化疗、患者心态是影响原发性肝癌介入治疗预后的独立因素。Objective This paper tries to investigate the prognostic factors of interventional therapy for primary liver cancer.Methods 60 cases of interventional treatment of primary liver cancer patients from January 2012 to September 2017 in this hospital were selected,according to QOL-LC grade of 3 months after operation,they were convenient divided into group A(greater than or equal to the preoperative,30 cases)and group B(lower than preoperative,30 cases),the clinical data of two groups were observed and compared,influencing factors of prognosis in patients with primary liver cancer treated by interventional therapy by Logistic regression were analyzed.Results 7 cases of group A,aged less than 40 years old(23.33%),4 cases of liver function Child grade C(13.33%),4 cases of TNM stage III(13.33%),Infiltrating type growth mode 6 cases(20.00%),25 cases of combined medication(83.33%),good mentality of 23 cases(76.67%),with significant difference compared with control group(P<0.05).Conclusion Age,grading of liver function,TNM stage,mode of tumor growth,portal vein embolization,and patient’s attitude are independent factors influencing the prognosis of interventional therapy for primary liver cancer.

关 键 词：原发性肝癌 介入治疗 预后 影响因素 

分 类 号：R735[医药卫生—肿瘤]