| 肝癌肝段切除术结合肝段门静脉阻断术预后相关因素分析 |
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| 引用本文： | 魏云生. 肝癌肝段切除术结合肝段门静脉阻断术预后相关因素分析[J]. 胃肠病学和肝病学杂志, 2013, 22(7): 637-639 |
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| 作者姓名： | 魏云生 |
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| 作者单位： | 河南省南阳市第九人民医院外一科,河南南阳,473000 |
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| 摘 要： | 目的分析肝癌肝段切除术结合肝段门静脉阻断术预后相关临床因素。方法选取我院182例住院接受肝段切除术结合肝段门静脉阻断术的肝癌患者,应用计算机COX比例风险模型对14个特征性临床因素进行多因素分析。结果 3年随访率为95.60%,全组1、2、3年生存率分别为66.48%、44.51%、28.57%。年龄、甲胎蛋白(AFP)、丙氨酸氨基转移酶(ALT)、癌栓、肝硬化、肿瘤分化、手术切缘、肿瘤包膜8个临床因素与预后有相关性(P<0.05);经过COX比例风险模型检测,年龄、AFP、ALT、癌栓、肝硬化是预后恶化的危险因素(P<0.05);而肿瘤分化、手术切缘、肿瘤包膜是预后恶化的保护因素(P<0.05)。结论接受肝段切除术结合肝段门静脉阻断术的肝癌患者具有高龄、高AFP和ALT血症、存在癌栓以及肝硬化的危险因素,预后不佳。
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| 关 键 词： | 肝癌 肝段切除术 肝段门静脉阻断术 预后 COX比例风险模型 |
Study on risk factors for prognosis of patients with hepatocellular carcinoma by segmentectomy and segmental portal vein obstruction |
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| WEI Yunsheng. Study on risk factors for prognosis of patients with hepatocellular carcinoma by segmentectomy and segmental portal vein obstruction[J]. Chinese Journal of Gastroenterology and Hepatology, 2013, 22(7): 637-639 |
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| Authors: | WEI Yunsheng |
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| Affiliation: | WEI Yunsheng Department of First Surgery,Nanyang 9th People’s Hospital,Nanyang 473000,China |
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| Abstract: | |
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| Keywords: | Hepatocellular carcinoma Segmentectomy Segmental portal vein obstruction Prognosis COX proportional hazard model |
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