影响舌癌术后远期生存质量的相关因素分析  

Analysis of Related Factors Affecting Long-term Quality of Survival After Tongue Cancer

作　　者：李海朋[1] LI Haipeng(The First Affiliated Hospital of Nanyang Medical College,Nanyang,473001)

机构地区：[1]南阳医学高等专科学校第一附属医院,473001

出　　处：《实用癌症杂志》2022年第8期1272-1275,共4页The Practical Journal of Cancer

摘　　要：目的探讨舌癌术后远期生存质量的相关影响因素。方法回顾性分析行手术治疗的94例舌癌患者临床资料,分析舌癌术后远期生存质量的相关影响因素。结果94例舌癌术后远期生存质量评分为(819.21±94.32)分。单因素分析显示,舌癌术后远期生存质量与肿瘤T、N分期和吸烟史、病理分级、局部复发、浸润深度、术后放疗密切相关(P<0.05),与年龄、文化程度、颈淋巴结清扫方式、性别无明显关系(P>0.05);多因素分析显示,肿瘤T、N分期和吸烟史、病理分级、局部复发、浸润深度、术后放疗是影响舌癌术后远期生存质量的高危因素(P<0.05),而无吸烟史、无局部复发、浸润深度≤0.8 cm、无术后放疗化者生存质量分别优于有吸烟史、有局部复发、浸润深度>0.8 cm、有术后放疗者,且肿瘤T、N分期越高者术后生存质量越差。结论肿瘤T、N分期和吸烟史、病理分级、局部复发、浸润深度、术后放疗是影响舌癌术后远期生存质量的高危因素,临床需加以重视。Objective To investigate the influencing factors affecting long-term survival after tongue cancer.Methods The clinical data of 94 patients with tongue cancer treated were retrospectively analyzed,and the influencing factors affecting long-term survival after tongue cancer were analyzed.Results The long-term quality of survival score of 94 cases of tongue cancer was(819.21±94.32).Single-factor analysis shows,Long-term quality of survival after tongue cancer is closely associated with tumor T,N staging and smoking history,pathological classification,local recurrence,infiltration depth,and postoperative radiotherapy(P<0.05),There is no obvious relationship with age,culture,neck lymphatic cleaning mode and sex(P>0.05);Multifactor analysis shows,Tumor T,N staging and smoking history,pathological classification,local recurrence,infiltration depth,postoperative radiotherapy are high risk factors affecting the long-term quality of survival after tongue cancer(P<0.05),Those with no history of smoking,no local recurrence,≤0.8 cm,and no postoperative radiotherapy were better than those with a history of smoking,local recurrence,and>0.8 cm,and postoperative radiotherapy,respectively,The higher the tumor T,N stage,the worse the postoperative quality of survival.Conclusion Tumor T,N staging and smoking history,pathological classification,local recurrence,infiltration depth and postoperative radiation therapy are high risk factors affecting the long-term survival quality after tongue cancer,which should be paid seriously clinically.

关 键 词：舌癌 远期生存质量 影响因素 

分 类 号：R739.86[医药卫生—肿瘤]