Child-Turcotte-Pugh评分与终未期肝病模型对晚期肝癌患者围介入术期的预后评估
发布时间：2018-08-02 17:24
【摘要】：目的探讨Child-Turcotte-Pugh(CTP)评分与终未期肝病模型(MELD)预测晚期肝癌围介入手术期患者生存期的优缺点及互补性。方法收集100例晚期肝癌患者,均行TACE,术前根据MELD公式计算患者的MELD值,并同时计算CTP评分。应用ROC曲线及其曲线下面积(AUC)分析并比较MELD、CTP评分预测患者生存时间的价值。结果采用CTP评分判断患者TACE术前、术后3、6个月生存期的的AUC分别为0.540、0.754、0.889,而采用MELD评分时分别为0.682、0.701、0.801。2种模型判断患者生存时间的AUC差异均有统计学意义(P均0.05)。结论在判断晚期肝癌短期预后方面,MELD与CTP评分均为较好的指标。
[Abstract]:Objective to explore the advantages and disadvantages of Child-Turcotte-Pugh (CTP) score and (MELD) model in predicting the survival time of patients with advanced liver cancer during interventional operation. Methods 100 patients with advanced liver cancer were treated with TACE.The MELD of the patients was calculated according to the MELD formula before operation and the CTP score was calculated at the same time. The ROC curve and its area under the curve were used to analyze and compare the value of (AUC) score in predicting the survival time of patients. Results the AUC of 3 and 6 months survival time of patients with TACE was 0.540 卤0.754 卤0.889, respectively, and that of MELD score was 0.6820.701 / 0.801.2 respectively. There were significant differences in AUC between the two models (all P 0.05). Conclusion meld and CTP scores are good indexes in judging the short-term prognosis of advanced liver cancer.
【作者单位】： 首都医科大学附属北京地坛医院肿瘤介入科;
【分类号】：R735.7;R730.55
，
本文编号：2160146
[Abstract]:Objective to explore the advantages and disadvantages of Child-Turcotte-Pugh (CTP) score and (MELD) model in predicting the survival time of patients with advanced liver cancer during interventional operation. Methods 100 patients with advanced liver cancer were treated with TACE.The MELD of the patients was calculated according to the MELD formula before operation and the CTP score was calculated at the same time. The ROC curve and its area under the curve were used to analyze and compare the value of (AUC) score in predicting the survival time of patients. Results the AUC of 3 and 6 months survival time of patients with TACE was 0.540 卤0.754 卤0.889, respectively, and that of MELD score was 0.6820.701 / 0.801.2 respectively. There were significant differences in AUC between the two models (all P 0.05). Conclusion meld and CTP scores are good indexes in judging the short-term prognosis of advanced liver cancer.
【作者单位】： 首都医科大学附属北京地坛医院肿瘤介入科;
【分类号】：R735.7;R730.55
，
本文编号：2160146
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