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原发性肝癌术后早期复发的危险因素分析 被引量：5

Risk factors of early recurrence of tumor after hepalobectomy in patients with primary liver cancer
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摘要 目的：探讨原发性肝癌（PLC）患者术后早期复发的危险因素。方法在51例 PLC 患者，选取17项临床和组织病理学参数，分析 PLC 术后早期复发的相关因素。结果发现血清 AST 水平（P〈0.001）、是否伴有肝硬化（P〈0.001）、肿瘤包膜是否完整（P=0.003）和血管侵犯（P=0.006）与早期复发相关；通过 Kaplan-Meier 法和 Cox 风险比例模型筛选发现有肝硬化（风险比=2.865，95%可信区间为1.846~8.466，P〈0.001）、肿瘤包膜缺失（风险比=3.357，95%可信区间为1.526~6.949，P=0.002）和血管侵犯（风险比=2.230，95%可信区间为1.094~4.548，P=0.027）是 PLC 术后早期复发的独立危险因素。结论对于有肝硬化、肿瘤包膜缺失和伴有血管侵犯等危险因素的 PLC 患者，术后应加强随访，以期及早发现肿瘤复发并给予及时的治疗。
作者 王浩 朱冰 苏鹏飞
机构地区 辽宁省辽阳市中心医院普外科
出处 《实用肝脏病杂志》 CAS 2014年第2期194-195,共2页 Journal of Practical Hepatology
关键词 原发性肝癌 早期复发 危险因素 Primary liver cancer Hepalobectomy Recurrence Risk factors
分类号 R735.7 [医药卫生—肿瘤]
  • 相关文献

参考文献10

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二级参考文献22

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共引文献13

同被引文献47

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实用肝脏病杂志
2014年 第2期

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