检验医学与临床2018，Vol.15Issue(8)：1067-1069,1073,4.DOI:10.3969/j.issn.1672-9455.2018.08.004
影响大肠癌肝转移患者术后近期疗效的相关因素分析
Analysis on relative influence factors of early prognosis
摘要
Abstract
Objective To investigate the related factors of short-term curative effect in patients with liver metastasis of colorectal cancer.Methods A total of 119 patients with colorectal cancer were selected from February 2004 to January 2014,which were divided into early relapse group(relapse within 1 year)and non-early relapse group according to the recurrence status after receiving operation.The median survival time,clin-ical data were compared in the two groups,and conducted Logistic regression analysis.Results Early recur-rence was happened to 38 patients,anastomotic recurrence was happened to 2 cases,36 cases with organ recur-rence(single organ recurrence was happened to 29 cases,7 cases with multiple organ recurrence),18 cases dead during follow-up.The median survival time in early relapse group and non-early relapse group were (17.98 ± 3.56),(32.06 ± 9.27)months respectively,the difference was statistically significant(P<0.05). Pathological types,T stage,degree of differentiation,preoperative carcinoembryonic antigen and lymph node metastasis in the two groups were significant different(P<0.05).Logistic regression analysis showed that pathological type,T stage,lymph node metastasis were independent risk factors affecting the surgical treat-ment of colorectal cancer patients with liver metastasis of early recurrence(P<0.05).Conclusion Early re-currence of colorectal liver metastases after operation were single organ recurrence,the pathological type,T stage,lymph node metastasis were independent risk factors for early recurrence.关键词
大肠癌/肝转移/复发/因素Key words
colorectal cancer/liver metastases/recurrence/factor分类
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王振新,李端明..影响大肠癌肝转移患者术后近期疗效的相关因素分析[J].检验医学与临床,2018,15(8):1067-1069,1073,4.
