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福建地区口腔癌预后影响因素的研究
引用本文:何保昌,陈法,林李嵩,邱宇,蔡琳.福建地区口腔癌预后影响因素的研究[J].福建医科大学学报,2014(3):183-189.
作者姓名:何保昌  陈法  林李嵩  邱宇  蔡琳
作者单位:福建医科大学1. 公共卫生学院 流行病与卫生统计学系,福州350108;
2. 附属第一医院 口腔颌面外科,福州350005
基金项目:收稿日期: 2014-03-26
基金项目: 福建省教育厅科研项目(JA13141);福建医科大学苗圃基金(2010MP019)
作者单位: 福建医科大学1. 公共卫生学院 流行病与卫生统计学系,福州350108;2. 附属第一医院 口腔颌面外科,福州350005
作者简介: 何保昌(1978-),男,讲师,医学硕士
摘    要:目的探索福建地区口腔癌预后的影响因素。方法采用前瞻性临床随访设计,随访705例口腔癌患者,收集确诊病例的临床资料及随访生存情况,运用COX回归探讨口腔癌预后影响因素的风险比例(HR)及其95%可信区间(CI)。结果性别、文化程度、饮酒、肿瘤家族史、肿瘤大小、肿瘤复发、首诊淋巴结转移、T分期、M分期、组织学分级、手术治疗、口腔卫生是影响口腔癌总体生存期的预后因素(P<0.05)。结论患者的性别、文化程度、饮酒、肿瘤家族史、肿瘤大小、肿瘤复发、首诊淋巴结转移、T分期、M分期、组织学分级、手术治疗、口腔卫生与口腔癌的预后有关。

关 键 词:口腔肿瘤    癌,鳞状细胞    饮酒    吸烟    存活率    预后    因素分析,统计学    福建

Study on the Prognostic Predictors of Oral Cancer in Fujian Area
HE Baochang,CHEN F,LIN Lisong,QIU Yu,CAI Lin.Study on the Prognostic Predictors of Oral Cancer in Fujian Area[J].Journal of Fujian Medical University,2014(3):183-189.
Authors:HE Baochang  CHEN F  LIN Lisong  QIU Yu  CAI Lin
Abstract:ObjectiveTo explore the factors influencing the prognosis of oral cancer in Fujian area.MethodsAll qualified patients were followed prospectively every 6 months from the time of enrollment of the patients or their family contacts.The clinical and follow-up data of 705 patients were gathered to explore the prognosis factors of oral cancer.Cox regression was used to calculate the hazard ratio and 95% confidence intervals of prognosis factors.ResultsGender, education level, alcohol drinking, family history of cancer, tumor size, tumor recurrence, diagnosis of lymph node metastasis for the first time, T stage, M stage, histological grade, surgical treatment and oral hygiene were prognostic factors affecting the overall survival of oral cancer(P<0.05).ConclusionsThere is association between gender, education level, alcohol drinking, family history of cancer, tumor size, tumor recurrence, diagnosis of lymph node metastasis for the first time, T stage, M stage, histological grade, surgical treatment and oral hygiene and the prognosis of oral cancer.
Keywords:mouth neoplasms  carcinoma  squamous cell  alcohol drinking  smoking  survival rate  prognosis  factor analysis  statistical  Fujian
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