Prognostic Factors of Reoperation in Patients with Recurrent Gliomas
Objective To explore the prognostic factors of reoperation in patients with recurrent gliomas.Methods The clinical data of 80 patients with recurrent glioma who underwent reoperation were analyzed retrospectively,and the patients were followed up for about 1 year to record their survival.Results The 1-year survival rate of 80 patients with glioma after reoperation was 71.25%(57/80),and the median survival time was 15 months.Compared with the death group,the survival group had higher KPS score,pathological grade Ⅰ~Ⅱ and total resection before reoperation(P<0.05).Cox regression analysis showed that KPS score before reoperation,pathological grade and surgical resection range were the influencing factors for the prognosis of patients with recurrent glioma after reoperation(P<0.05).The ROC curve showed that the KPS score before reoperation,pathological grade and surgical resection range had certain value in predicting the prognosis of patients,and the prediction efficiency of the three combined diagnoses was the highest.Conclusion The 1-year survival rate of patients with recurrent gliomas after reopera-tion is affected by the scope of reoperation,KPS score before reoperation and pathological grade,which can be used as a factor to predict the prognosis of patients after reoperation.