肝癌术后预后的多因素研究word论文.docxVIP

Multivariate analysis of prognosis of liver cancer after surgery SummaryObjective To study the radical surgery in an analysis of the factors affecting the prognosis of patients with hepatocellular carcinoma treated, in order to improve prognosis and improving patients quality of life in patients with the Foundation. Method to the hospital in March 2006-March 2009 study on 128 cases of surgical treatment of hepatocellular carcinoma, retrospective analyses of clinical data. On patients of TNM staging, and Child-Pugh ratings, and lesions distribution location, and cancer focal number, and tumor has no fake package film, and tumor size, and serum AFP State, and door vein cancer tied, and tumor iodine oil deposition, and surgery Hou treatment method and the treatment number, factors, respectively for single factors and more factors analysis, follow-up 5 years of patients survival rate, data for comparison, on patients prognosis and the survival quality of effects for research and the statistics analysis.Results ting focal volume, tumor for TNM stage, cancer-free coating, the distribution of the lesions, tumor size, tumor thrombi in portal vein, serum, Child-Pugh grade AFP State, cancer and treatment times and iodized oil deposition there was a significant correlation between postoperative survival rate (P0.05), the above factors also have a significant impact on the quality of life of patients (P0.05). Cox Multivariate regression analysis of Child-Pugh grading and iodized oil deposition in postoperative conditions, postoperative patients with Portal vein tumor thrombus on long-term survival and quality of life were significantly affected (P0.05).Conclusiondegree of hepatic cirrhosis and patients before operation were independent factors affecting postoperative prognosis.the degree of tumor differentiation, peri operation period of blood transfusion and Lvsi and other factors are the important factors influencing the prognosis after operation.2hepatitis patien