睾丸生殖细胞肿瘤患者行睾丸部分切除术的1、3、5年生存率分析

目的：分析睾丸生殖细胞肿瘤患者行睾丸部分切除术后的1、3、5年生存率。方法：运用回顾性分析的方法 1998年10月至2008年10月110例来我院行睾丸部分切除术的睾丸生殖细胞肿瘤患者的临床资料,分析不同病理类型、术后行不同辅助治疗方式患者的1、3、5年生存率。结果：本研究中110例睾丸生殖细胞肿瘤患者行部分切除术后1年生存率为99.8%,3年生存率为92.8%,5年生存率为87.8%。睾丸精原细胞瘤患者的1年、3年、5年生存率分别为100%、96.6%、86.5%;睾丸非精原细胞瘤患者的1年、3年、5年生存率分别为98.7%、92.3%、80.2%,不同病理类型患者的1年、3年、5年生存率存在统计学差异（P〈0.0001）;不同病理类型的患者术后辅以不同的治疗方式1年、3年、5年生存率亦存在统计学差异（P〈0.05）。结论：睾丸生殖细胞肿瘤患者的1年、3年、5年生存率与病理类型及术后辅助治疗方式有关,睾丸精原细胞瘤患者的1年、3年、5年生存率高于睾丸非精原细胞瘤患者。

Survival rate analysis of testicular germ cell tumor patients receiving testis sparing surgery

Objectives：To analyze the survival rate of testicular germ cell tumor patients receiving testis sparing surgery after 1 year,3 years and 5 years.Method：Using the retrospective analysis method,We collected and analyzed the clinical data of 110 patients who had testicular germ cell tumor resection in our hospital from October 1998 to October.2008.The 1,3 and 5 years＇ survival rates were analyzed for different pathological types and different postoperative adjuvant therapy.Results：In this study,1- year survival rate of 110 patients with testicular germ cell tumor after partial hepatectomy was 99.8%;3- year survival rate was 92.8% and 5- year survival rate was 87.8%.Survival rates of testicular seminoma in 1 year,3 years and 5 years were 100%,96.6% and 86.5% respectively;survival rates of testicular non- seminoma germ cell tumor in 1 year,3 years and 5 years were 98.7%,92.3%,and 80.2% respectively.Patients with different pathological types after 1 year,3 years and 5 years showed significant difference in the survival rate（P〈0.0001）;patients with different pathological types also had significant difference in the 3 years and 5 years survival rate（P 〈0.05）.Conclusion：For patients with testicular germ cell tumor,auxiliary treatment and pathological types affect the 1- year,3- year and 5- year survival rates.The survival rate of testicular seminoma patients in 1 year,3 years and 5 years are higher than of testicular non- seminoma patients.