影响胃肠间质瘤根治术患者预后因素的分析:附术后5年97例报告
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欧阳洋

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Prognostic factor analysis of patients with gastrointestinal stromal tumor undergoing radical operation over 5 years:a report of 97 cases
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    摘要:

    目的:探讨影响胃肠道间质瘤手术患者预后的因素。
    方法:回顾性分析有完整临床资料和随访5年以上的97例胃肠道间质瘤根治术后患者。
    结果:单因素分析结果显示患者性别、肿瘤部位、肿瘤大小、肿瘤细胞类型、肿瘤有无坏死、核分裂相数目及术后是否使用Gleevec辅助治疗与患者的预后具有相关性。应用COX回归模型分析显示肿瘤部位、肿瘤大小、肿瘤细胞类型、肿瘤有无坏死、核分裂相数目,及术后是否使用Gleevec辅助治疗是影响胃肠道间质瘤根治术患者预后的独立因素。
    结论:瘤部位、肿瘤大小、肿瘤细胞类型、肿瘤有无坏死、核分裂相数目及Gleevec治疗是影响胃肠道间质瘤根治术患者预后的重要指标。

    Abstract:

    Abstract:Objective:To analyze the independent factors affecting the prognosis of gastrointestinal stromal tumor (GIST) patients undergoing radical operation.
    Methods :The clinical characteristics and follow up data of the 97 patients with GIST underwent radical opsration from January, 2001 to January, 2003 in our hospital were retrospectively analyzed by univariate and multivariate methods.
    Results: In the univariate analysis of the 97 cases, gender, tumor location, tumor size, tumor cell type, necrosis, mitotic count, and Gleevec administration postoperatively were found to be related to the prognosis of GIST. Multivariate Cox model analysis showed that tumor location, tumor size, tumor cell type, necrosis, mitotic count, and Gleevec administration postoperatively were independent prognostic factors for patients with GIST.
    Conclusions:Tumor location, tumor size, tumor cell type, necrosis, mitotic count are important prognostic factors for patients with GIST undergoing radical operation.

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欧阳洋, 欧阳植庭, 廖国庆, 陈志康, 江春.影响胃肠间质瘤根治术患者预后因素的分析:附术后5年97例报告[J].中国普通外科杂志,2008,17(10):8-977.
DOI:10.7659/j. issn.1005-6947.2008.10.008

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  • 在线发布日期: 2008-10-25