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时间:2020-05-04
《以肿瘤总体积为基础的新型肝癌肝切除术前复发预测模型的建立-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·808·中华肝胆外科杂志2013年11月第19卷第11期ChinJHepatobiliarySurg,November2O13,Vo1.19,No.1l·论著·以肿瘤总体积为基础的新型肝癌肝切除术前复发预测模型的建立阮丹云李洋林泽晓吴东昊汪国营冯啸张剑李华吴祥元姜楠【摘要】目的分析肝癌术前复发高危因素,建立一个基于肿瘤总体积(TTV)的新型肝癌术前复发预测模型。方法回顾性分析2003—2010年于我院接受肝切除术的196例原发性肝癌患者资料,应用单因素及COX风险模型分析l临床因素与术后复发的关系,建立预后指数模型。通过计算受试者操作特征(ROC)曲线
2、下面积(AUC)、Akaike信息标准(AIC)以及似然比卡方值,评价新模型与目前所用4种分期(TNM分期、OKUDA分期、CLIP评分系统、BCLC分期)系统的优劣。结果将TTV>115em。、乙肝表面抗原(HBsAg)阳性、Child-Turcotte—Pugh(CTP)分级B级和门静脉癌栓(PvTT)四个影响肿瘤复发的术前指标分别赋值1分建立预测复发评分模型。根据得分情况将患者分为A(o~1分)、B(2分)、C(3分)、D(4分)四个等级,其1年无瘤复发生存率分别为:8O.1、47.8Vo、28.6%、0,3年无瘤复发生存率分别为62.4、34.8
3、、00A、o,各组之间无瘤复发生存率具有显著差异(P4、词】原发性肝癌;肝切除术;肿瘤总体积;复发风险模型Aprognosticmodelbasedonthetotaltumorvolumepredictedtumorrecurrenceofhepatoceilularcarcino。mafollowingliverresectionRU_ANDan—yun,LIYang,LINZP—xiao,WUDong—hao,W_ANGGuoyingFENGXiao,ZHANGJian,LIHua,WUXiang—yuan,JIANGNan.DepartmentofMedicalOncology,theTrAffili5、atedHospitalofSunYat—senUniversity,Guangzhou510630,ChinaC0rr8。gauther:JMNGNan,Email:njiang163@163.com;WUXiang—yuan,Email:wux—iangy@mail.sysu.edu.cn[Abstract]0bjectiveTodeterminetheriskfactorsandtosetupaprognosticmodeltopredictearlyrecurrenceofheDatocel1u1arcarcinoma(HCC)afterlive6、rresection.MethodsFrom2003to2010,l96HCCpatientswhounderwentliverresectionwereretrospectivelystudied.Univariateandmultivariateanalyseswereusedtoassessthevariables.Arecurrenceriskmode1wasdevelopedwithindependentprognosticfactors.Thepredictivevaluewasevaluatedusingreceiveroperatorch7、aracteris—tiecurve(R0C)analyses,andtheresultswerecomparedtothoseobtainedusingthecommonlyusedmethods.ResultsThemedianfollow—upwas33months(卜103mouths),andthemedianrecurrence-freesurviva1was22months.Thetota1tumorvolume(TTV),HBsAgstatus,Child—Pughscoreandporta1veintumorthrombuswerein8、dependentfactorsofrecurrence.Ariskmode1w
4、词】原发性肝癌;肝切除术;肿瘤总体积;复发风险模型Aprognosticmodelbasedonthetotaltumorvolumepredictedtumorrecurrenceofhepatoceilularcarcino。mafollowingliverresectionRU_ANDan—yun,LIYang,LINZP—xiao,WUDong—hao,W_ANGGuoyingFENGXiao,ZHANGJian,LIHua,WUXiang—yuan,JIANGNan.DepartmentofMedicalOncology,theTrAffili
5、atedHospitalofSunYat—senUniversity,Guangzhou510630,ChinaC0rr8。gauther:JMNGNan,Email:njiang163@163.com;WUXiang—yuan,Email:wux—iangy@mail.sysu.edu.cn[Abstract]0bjectiveTodeterminetheriskfactorsandtosetupaprognosticmodeltopredictearlyrecurrenceofheDatocel1u1arcarcinoma(HCC)afterlive
6、rresection.MethodsFrom2003to2010,l96HCCpatientswhounderwentliverresectionwereretrospectivelystudied.Univariateandmultivariateanalyseswereusedtoassessthevariables.Arecurrenceriskmode1wasdevelopedwithindependentprognosticfactors.Thepredictivevaluewasevaluatedusingreceiveroperatorch
7、aracteris—tiecurve(R0C)analyses,andtheresultswerecomparedtothoseobtainedusingthecommonlyusedmethods.ResultsThemedianfollow—upwas33months(卜103mouths),andthemedianrecurrence-freesurviva1was22months.Thetota1tumorvolume(TTV),HBsAgstatus,Child—Pughscoreandporta1veintumorthrombuswerein
8、dependentfactorsofrecurrence.Ariskmode1w
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