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原发性肝细胞癌行肝切除术后复发的预后因素分析
引用本文:李志强.原发性肝细胞癌行肝切除术后复发的预后因素分析[J].中国医药科学,2011(18):22-23.
作者姓名:李志强
作者单位:聊城国际和平医院外一科
摘    要:目的探讨HCC行肝切除术后影响患者复发的各预后因素。方法回顾性分析2006年6月~2011年6月行肝切除术治疗HCC的患者临床资料。应用Cox比例风险模型行单因素和多因素分析。结果所有患者均行根治性肝切除术,本组共84例患者出现术后复发,总体1、2、3、5年累积复发率分别为51.96%(53/102)、67.65%(69/102)、76.47%(78/102)、82.35%(84/102)。结论 HCC行肝切除术后复发早、晚期影响因素不同,应进行预后因素等级划分,有助于预测HCC患者术后复发。

关 键 词:肝细胞癌  肝切除术  复发  预后  危险因素

Prognostic factors associated with intrahepafic recurrence following hepatectomy for pafients with hepatocellular carcinoma
LI Zhiqiang.Prognostic factors associated with intrahepafic recurrence following hepatectomy for pafients with hepatocellular carcinoma[J].China Medicine and Pharmacy,2011(18):22-23.
Authors:LI Zhiqiang
Institution:LI Zhiqiang Department of the First Surgery,Liaocheng International Peace Hospital,Liaocheng 252000,China
Abstract:Objective To explore prognostic factors related to intrahepatie recurrences after hepatectomy for patients with hepatocellular carcinoma.Methods Medical records of patients with HCC treated by hepatectomy from July 2006 to July 2011 were analyzed retrospectively.Clinical data were evaluated for their possible association with postoperative intrahepatic recurrence in univariate and multivariate analysis using Cox proportional hazard model.Results All 112 cases underwent curative hepatec-tomy.84 cases developed postoperative intrahepatic recurrence.The 1,2,3,5-year cumulative recurrent rates were 51.96%(53/102)、67.65%(69/102)、76.47%(78/102)、82.35%(84/102) respectively.Conclusion Postoperative recurrence for HCC after curative hepatectomy is different as early and late recurrence.Risk stratification tail be used for prediction of different type of recurrence.
Keywords:Hepatocellular carcinoma  Hepatectomy  Recurrence  Prognosis  Risk factor
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