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影响肾盂输尿管癌预后的多因素分析
引用本文:王侠,王平,杨涛,刘同才,刘屹立. 影响肾盂输尿管癌预后的多因素分析[J]. 中华外科杂志, 2001, 39(2): 135-136
作者姓名:王侠  王平  杨涛  刘同才  刘屹立
作者单位:110001 沈阳,中国医科大学第一临床学院泌尿外科
摘    要:目的:对肾盂输尿管癌预后的相关因素进行评价,方法:回顾60例原发肾盂输尿管癌临床资料,统计流行病学,临床诊治,分子生物学相关因素20项,应用logistic回归检验各因素与术后再发膀胱癌的关系,应用Cox比例风险回归检验各因民术后生存率的关系。结果:与术后再发 胱癌显著相关因素有3个,伴发膀胱癌,肿物数目有无多部位生长,其相对危险度分别为2.89,2.20和1.60,与术后生存时间显著相关的因素有3个,为分期,有无多部位生长和VEGF表达。其风险指数分别为2.20,1.78和1.55,结论:可以通过上述6个因素进行的相对危险度和风险指数的计算,对盂输尿管癌的预后预以评价。

关 键 词:肾盂输尿管肿瘤 预后 相关因素
修稿时间:2000-06-23

Multifactor prognostic evaluation of renal pelvic and ureteral carcinoma
WANG Xia,WANG Ping,YANG Tao,et al.. Multifactor prognostic evaluation of renal pelvic and ureteral carcinoma[J]. Chinese Journal of Surgery, 2001, 39(2): 135-136
Authors:WANG Xia  WANG Ping  YANG Tao  et al.
Affiliation:WANG Xia,WANG Ping,YANG Tao,et al. Urology Department,First Clinical College,China Medical University,Shenyang 110001,China
Abstract:Objective To evaluate prognosis-related factors for renal pelvicand ureteral carcinoma. Methods 60 patients with pelvic and ureteral carcinoma were studied. 20 factors in epidemiology, clinical diagnosis and therapy, and molecular biology were evaluated by logistic analysis and Cox′s hazard index analysis to present the significant factors related to prognosis. Results Associated bladder carcinoma, number of tumors and multiplace growth are related to recurrence of bladder carcinoma. Their OR values were 2.89, 2.20 and 1.60. The stage, multiplace growth, and the expression of VEGF were more significant in evaluating survival period than other factors (P<0.01), with a hazard index of 2.02,1.78 and 1.55 respectively. Conclusion The prognosis including recurrence of bladder carcinoma and survival rate can be evaluated by estimating the OR value and hazard index.
Keywords:Ureteral neoplasms  Kidney pelvis  Prognosis
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