| 影响肝内胆管癌切除术后患者生存率的多因素分析 |
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| 引用本文： | 梁致如,何昆仑,徐立宁. 影响肝内胆管癌切除术后患者生存率的多因素分析[J]. 军医进修学院学报, 2012, 0(5): 463-465 |
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| 作者姓名： | 梁致如 何昆仑 徐立宁 |
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| 作者单位： | 解放军总医院南楼临床部外二科;解放军总医院医务部 |
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| 摘 要： | 目的探讨影响肝内胆管癌术后患者生存的因素。方法对本院2000年1月-2010年12月收治的91例行肝脏切除术的肝内胆管癌患者进行随访和回顾性研究,分析影响肝内胆管癌患者术后生存的因素。结果多因素分析表明,术中失血量(>400ml vs≤400ml:HR=2.973,P=0.04)和肿瘤分化程度(低分化vs中-高分化:HR=4.892,P=0.01)是患者术后生存的独立危险因素。结论影响肝内胆管癌切除术患者生存的独立危险因素为术中失血量和肿瘤分化程度,减少术中失血量或可改善患者的远期预后。
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| 关 键 词： | 肝内胆管癌 生存 失血 肝切除术 多因素分析 |
Factors influencing survival of patients with intrahepatic cholangiocarcinoma after resection:A multiple factor analysis |
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| LIANG Zhi-ru,HE Kun-lun,XU Li-ning. Factors influencing survival of patients with intrahepatic cholangiocarcinoma after resection:A multiple factor analysis[J]. Academic Journal of Pla Postgraduate Medical School, 2012, 0(5): 463-465 |
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| Authors: | LIANG Zhi-ru HE Kun-lun XU Li-ning |
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| Affiliation: | 1Second Department of Surgery in South Building;2Department of Medical Administration Chinese PLA General Hospital,Beijing 100853,China |
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| Abstract: | Objective To study the factors influencing survival of patients with intrahepatic cholangiocarcinoma(ICC) after operation.Methods Factors influencing the survival of 91 ICC patients admitted to our hospital for operation from January 2000 to December 2010 were retrospectively analyzed.Results Multivariate analysis showed that intraoperative blood loss(>400ml vs≤400ml,HR=2.973,P=0.04) and tumor differentiation(poor vs moderate-high differentiation,HR=4.892,P=0.01) were the two independent risk factors for the survival of ICC patients after operation.Conclusion Intraoperative blood loss and tumor differentiation are the independent prognostic factors for the survival of ICC patients after operation,thus reducing intraoperative blood loss can improve the long-term prognosis of such patients. |
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| Keywords: | intrahepatic cholangiocarcinoma survival blood loss hepatectomy multivariate analysis |
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