实用肿瘤学杂志 ›› 2012, Vol. 26 ›› Issue (6): 543-547.doi: 10.3969/j.issn.1002-3070.2012.06.015

• 论著 • 上一篇    下一篇

胰腺癌切除术后预后相关因素的临床分析

徐京京1, 杨明2, 赵娟2, 周艳华3, 张艳桥2   

  1. 1.哈尔滨医科大学附属第三医院ICU(哈尔滨 150081);
    2.哈尔滨医科大学附属第三医院内八科;
    3.中国人民解放军总医院肿瘤内科
  • 收稿日期:2012-05-22 出版日期:2012-12-28 发布日期:2014-12-03
  • 通讯作者: 张艳桥,E-mail:yanqiaozhang@126.com
  • 作者简介:徐京京,女,(1984-),硕士,住院医师,从事消化道肿瘤的综合治疗研究

Clinical analysis of prognostic factors in the postoperative pancreatic cancer

XU Jingjing1,YANG Ming2,ZHAO Juan2,ZHOU Yanhua3,ZHANG Yanqiao2   

  1. 1.Department of ICU,The Third Affiliated Hospital Of Harbin Medical University,Harbin 150081,China;
    2.Department of Internal medicine-oncology,The Third Affiliated Hospital Of Harbin Medical University;
    3.Department of Internal medicine-oncology,The general hospital of Chinese People′s liberation Army
  • Received:2012-05-22 Online:2012-12-28 Published:2014-12-03

摘要: 目的 通过回顾性分析78例胰腺癌手术切除患者的生存情况,探讨胰腺癌切除术后影响患者生存的临床及病理因素。方法 将2005—2008年间哈尔滨医科大学附属第三医院收治的78例胰腺癌手术切除病例的临床资料进行回顾性分析,用Kaplan-Meier法对可能影响预后的指标:年龄、性别、血糖、血型、疼痛症状、术前CA19-9、肿瘤部位、淋巴结转移、临床分期及辅助治疗进行单因素分析,并用Cox比例风险模型对单因素分析结果中的阳性指标进行多因素分析。结果 单因素分析显示术前CA19-9、术后病理淋巴结转移情况、辅助治疗、临床分期和伴有疼痛症状是影响术后胰腺癌患者预后的因素,有统计学意义(P<0.05)。而年龄、性别、血型、血糖、肿瘤部位与胰腺癌术后生存期无关,差异无统计学意义(P>0.05);多因素分析显示术前CA19-9水平、术后病理淋巴结转移情况、临床分期是影响胰腺癌切除术后患者的独立预后因素(P<0.05)。结论 胰腺癌切除术后接受辅助治疗会使患者在生存期方面获益,但不是影响预后的独立因素;术前CA19-9水平、术后病理淋巴结转移情况、临床分期为影响胰腺癌术后患者预后的独立因素。

Abstract: Objective To discuss the prognosis factors of the postoperative pancreatic cancer.Methods We collected 78 patients with pancreatic cancer resection from the Third Affiliated Hospitial of Harbin Medical University during 2005-2008 in this retrospective study,and analyzed the factors including:age,gender,glucose,blood type,symptom of pain,preoperative CA19-9,tumor′s position,lymph node metastasis,clinical stage,adjuvant therapy with Kaplan-Meier of univariate analysis and Cox proportional hazards model analysis of the positive factors in the multivariate analysis.Results Univariate analysis showed that preoperative CA19-9>37U/mL,lymph node metastasis,without adjuvant therapy,clinical stageⅢ and with pain symptom would be bad for survival(P<0.05).Age,gender,glucose,ABO blood type and tumor′s position did not influence on survival(P>0.05).Multivariate analysis showed that preoperative CA19-9 level,pathological lymph node metastasis and clinical stage were the independent prognostic factors for postoperative pancreatic cancer.Conculusion Adjuvant therapy will be benefit for the survival,but not the independent prognostic factor.Preoperative CA19-9 level,pathological lymph node metastasis and clinical stage are independent prognostic factors for postoperative pancreatic cancer.

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