南方医科大学学报2012,Vol.32Issue(4):557-559,3.DOI:10.3969/j.issn.1673-4254.2012.04.026
输尿管移行细胞癌术后膀胱复发的危险因素分析
Risk factors of postoperative intravesical recurrence of transitional cell carcinoma of the ureter
摘要
Abstract
Objective To define the clinicopathological risk factors of intravesical recurrence of primary transitional cell carcinoma of the ureter after surgical intervention.Methods Patients with primary carcinoma of the ureter treated between January 2000 and December 2010 were retrospectively analyzed.The intravesical recurrence-free survival rate was calculated using Kaplan-Meier method.Multivariate analysis was conducted with Cox's regression.Results A total of 104 patients were enrolled,who were followed up for a median of 46 months (13-89 months).Thirty-nine of the patients showed postoperative intravesical recurrence.Urine exfoliative cytology (P=0.000),number of tumors (P=0.006),tumor grade (P=0.039) and co-existence of bladder tumor (P=0.014) were found to independently influence the postoperative intravesical recurrence.Patients with more risk factors had poorer intravesical recurrence-free survival.Conclusions Urine exfoliative cytology,number of tumors,tumor grade and co-existence of bladder tumor are independent risk factors for postoperative intravesical recurrence of primary transitional cell carcinoma of the ureter.Close follow-up and rigorous treatment are essential for patients with high risk factors.关键词
输尿管癌/移行细胞癌/膀胱/复发/危险因素Key words
carcinoma of the ureter/transitional cell carcinoma/bladder/recurrence/risk factors分类
医药卫生引用本文复制引用
叶云林,秦自科,卞军,陈明坤,黄燕平,袁小旭,孙祥宙,戴宇平..输尿管移行细胞癌术后膀胱复发的危险因素分析[J].南方医科大学学报,2012,32(4):557-559,3.基金项目
国家自然科学基金(81072101) (81072101)