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膀胱肿瘤经尿道切除术后复发相关因素分析
引用本文:董秉政,陈家存,孙晓青,温儒民,顾骧,陈仁富,郑骏年. 膀胱肿瘤经尿道切除术后复发相关因素分析[J]. 徐州医学院学报, 2006, 26(4): 331-334
作者姓名:董秉政  陈家存  孙晓青  温儒民  顾骧  陈仁富  郑骏年
作者单位:1. 徐州市中心医院生殖医学中心
2. 徐州医学院附属医院泌尿外科,江苏,徐州,221002
摘    要:目的分析经尿道膀胱肿瘤切除术(TUR-Bt)后影响膀胱肿瘤复发的相关因素。方法应用Logistic回归方法和COX比例风险模型,对126例行TUR-Bt术的膀胱肿瘤患者的一般情况和临床特征等17项指标与复发时间进行统计分析,并绘制Kaplan-Meier复发风险曲线。结果肿瘤基底(Hr=2.825)、肿瘤分期(Hr=2.223)、肿瘤数目(Hr=2.203)和术后膀胱灌注化疗(Hr=0.465)是与TUR-Bt术后肿瘤复发显著相关的因素。结论评价TUR-Bt术后膀胱肿瘤复发情况可参考上述4个因素。

关 键 词:膀胱肿瘤  经尿道膀胱肿瘤切除术  复发
文章编号:1000-2065(2006)04-0311-04
收稿时间:2006-03-29
修稿时间:2006-03-292006-06-13

The recurrence risk factors of bladder tumor in patients after transurethral resection
DONG Bing- zheng, CHEN Jia- cun, SUN Xiao- qing, et al. The recurrence risk factors of bladder tumor in patients after transurethral resection[J]. Acta Academiae Medicinae Xuzhou, 2006, 26(4): 331-334
Authors:DONG Bing- zheng   CHEN Jia- cun   SUN Xiao- qing   et al
Affiliation:Department of Urology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu 221002, China
Abstract:Objective To study the recurrence-related factors in patients who have undergone transurethral resection of bladder tumor(TUR-Bt).Methods An analysis on recurrence-related factors was made by logistic regression model analysis and Cox proportional hazard model analysis in 126 patients having undergone TUR-Bt from 1993 to 2003.The factors included clinical and pathologic figures.Kaplan-Meier recurrent risk curves were finally constructed.Results The recurrence-related factors were found to be: tumor base(Hr=2.825),tumor stage (Hr=2.223),tumor number(Hr=2.203) and intravesical chemotherapeutic instillations(Hr=0.465).Conclusion The four factors should be considered to estimate the prognosis in patients after TUR-Bt.
Keywords:bladder neoplasms   transurethral resection of bladder tumor   recurrence
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