摘要
目的探讨相关因素在骨巨细胞瘤(giantcelltumorofbone,GCTB)预后中的意义。方法采用Logistic回归方法对可能影响其预后的8种因素(年龄、性别、从起病到手术前症状持续时间、影像分级、病理分级、临床分级、肿瘤部位和术式等)进行分析。结果术后肿瘤复发与患者Jaffe组织病理学分级及手术方式呈相关关系(P<0.05)。结论手术方式是影响预后的最重要因素,囊内刮除手术方式复发率高,应尽量避免采用这种手术方式,尤其是对于JaffeⅡ、Ⅳ级的肿瘤,应更多地选择肿瘤广泛边缘切除术。
Objective In order to study the factors affecting the prognosis of giant cell of bone. Methods Data was used by the method of Logistic regression analysis to analyse 8 factors,such as sex,age,X-rays grading, pathological grading,clinic surgical staging ,location of tumor and operative mode,which probably may affect the protgnosis of disease. Results The operative modes and histologic grading are related factors of the recurrence of bone giant cell tumor. Conclusion ＇ Histologic grading is still useful for predicting behavior of GCTB.Treatment ofintracapsular curettage should be avoided because of its high recurrence;local or wide excision of the tumor should be more frequently chosen especially for the tumors of Jaffe grade Ⅱ or Ⅲ.
出处
《医学新知》
CAS
2005年第3期38-39,共2页
New Medicine
