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影响软骨肉瘤患者的预后因素分析

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目的 探讨软骨肉瘤患者接受外科治疗的疗效及影响预后的因素.方法 回顾性分析 2008 年 1 月 1 日至2019 年 1 月 1 日 56 例接受手术治疗的软骨肉瘤患者的临床资料,并进行生存随访.生存分析采用Kaplan-Meier法,多因素分析采用Cox比例风险回归模型.结果 56 例软骨肉瘤患者中,接受肿瘤切除术38 例,重建术14 例,活检术1 例,截肢术 3 例.至随访截止时间,56 例软骨肉瘤患者中存活 39 例,死亡 17 例.软骨肉瘤患者术后 5 年生存率为 69.6%.单因素分析显示,软骨肉瘤患者的 5 年生存率与年龄、肿瘤大小和 Garde分级有关(P<0.05),与性别、肿瘤首发部位和手术方式无关(P>0.05).Cox多因素分析显示,Garde分级和肿瘤大小是影响软骨肉瘤患者总生存时间的独立因素(P<0.05).结论 软骨肉瘤患者经外科治疗后具有较好的生存情况,Garde分级和肿瘤大小是影响患者总生存时间的独立因素.
Analysis of prognostic factors for patients with chondrosarcoma
Objective To investigate the efficacy and prognostic factors of surgical treatment in patients with chondrosarcoma.Methods The clinical data of 56 patients with chondrosarcoma who underwent surgical treatment from January 1,2008 to January 1,2019 were retrospectively analyzed and followed up.Survival analysis was performed using the Kaplan-Meier method,and multivariate analysis was performed using Cox proportional hazards regression model.Results Among the 56 cases of chondrosarcoma,38 patients underwent tumor resection,14 underwent reconstruction,1 underwent biopsy,and 3 underwent amputation.At the time of the last follow-up,39 patients were alive,and 17 patients died.The 5-year survival rate of chondrosarcoma patients after surgery was 69.6%.Univariate analysis showed that the 5-year survival rate of chondrosarcoma patients was related to age,tumor size,and Garde grade(P<0.05),but was not related to gender,tumor initial site and surgical method(P>0.05).The results of Cox multivariate analysis showed that Garde grade and tumor size were independent prognostic factors affecting the overall survival of chondrosarcoma patients(P<0.05).Conclusion Patients with chondrosarcoma have good survival outcomes after surgical treatment,and tumor size and Garde grade are independent prognostic factors affecting overall survival.

ChondrosarcomaSurgical treatmentPrognosis

张黎明、黄剑浩、朱岩、樊根涛、周光新

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210009 南京 南京大学医学院附属金陵医院骨科

软骨肉瘤 外科治疗 预后

2024

临床肿瘤学杂志
解放军第八一医院

临床肿瘤学杂志

CSTPCD
影响因子:1.583
ISSN:1009-0460
年,卷(期):2024.29(9)