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细支气管肺泡癌临床治疗效果探讨
Disscussion of clinical treatment of patients with bronchioloalveolar carcinoma
【摘要】 目的:探讨细支气管肺泡癌(bronchioloalveolarcarcinomaBAC)外科临床治疗效果。方法:分析85例BAC患者的手术治疗效果及影响因素。结果:单因素分析显示,除性别及吸烟外,症状(χ2=21.04)、X线表现(χ2=18.34)、手术方式(χ2=19.21)、切除程度(χ2=11.62)、T分期(χ2=37.58)和淋巴结转移情况(χ2=70.44)等均对5年生存率有显著影响,P<0.001。而Cox多因素回归分析只有症状、切除程度和淋巴结分期影响手术后患者的5年生存率,P<0.05。结论:没有症状、淋巴结分期早及根治性手术切除的BAC患者预后较好。
【Abstract】 OBJECTIVE:To explore the effect of surgical treatment of bronchioloalveolar carcinoma (BAC). METHODS: The data of 85 patients with bronchioloalveolar carcinoma were collected and analysed. RESULTS: Except for gender and smoking, six factors were significant, P<0.001, in univariate analysis, but in Cox’s multiple regressions, only three factors remained significant, P<0.05, which were symptoms,completeness of resection, and lymphnode stage. CONCLUSION: The BAC patients with asymptom, early-stage of lymph node, early-diagnosis, and complete surgical resection have a better prognosis.
【Key words】 lung neoplasms/surgery; adenocarcinoma, bronchioloalveoler/therapy; prognosis; survival rate;
- 【文献出处】 中华肿瘤防治杂志 ,Chinese Journal of Cancer Prevention and Treatment , 编辑部邮箱 ,2006年02期
- 【分类号】R734.2
- 【被引频次】2
- 【下载频次】78