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老年非小细胞肺癌患者术后生存期的影响因素

发布时间:2018-09-06 13:02
【摘要】:目的分析老年非小细胞肺癌患者术后生存期的影响因素。方法选择非小细胞肺癌患者90例,收集患者的年龄、性别、基础疾病、临床症状、术后并发症、术后体力状况(ECOG)评分、病理分期、病理类型、手术方式、随访资料等相关临床资料。结果 90例患者中失访8例,失访率为8.9%,术后1年生存率为71.1%,术后3年的生存率为62.2%,术后5年的生存率为41.1%,中位生存期为43个月。生存期影响因素的单因素分析结果显示:有临床症状者、术后有并发症者、ECOG评分2~4分者、病理分期Ⅲa期者、全肺切除术者的生存时间短(P0.05);年龄、性别、病理类型对患者术后生存期没有明显影响(P0.05)。COX回归分析结果显示:ECOG评分和病理分期是老年非小细胞肺癌患者术后生存期的独立影响因素(P0.05)。结论 ECOG评分和病理分期是老年非小细胞肺癌患者术后生存期的独立影响因素,术后体力状态好、病理分期早的患者术后生存期比较长。
[Abstract]:Objective to analyze the influencing factors of postoperative survival in elderly patients with non-small cell lung cancer (NSCLC). Methods 90 patients with non-small cell lung cancer were selected and their age, sex, basic diseases, clinical symptoms, postoperative complications, (ECOG) score of postoperative physical strength, pathological staging, pathological types, and operation methods were collected. Follow-up data and other related clinical data. Results among the 90 patients, 8 cases lost the visit, the missing rate was 8.9%, the 1 year survival rate was 71. 1%, the 3 year survival rate was 62. 2%, the 5 year survival rate was 41. 1%, the median survival time was 43 months. The results of univariate analysis showed that the survival time of patients with clinical symptoms, postoperative complications, pathological stage 鈪,

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