Study on Prognostic Factors of Laparoscopic Ultrasound-guided Microwave Ablation for Liver Cancer Patients
Objective To analyze the prognostic factors of laparoscopic ultrasound-guided microwave ablation(MWA)in the treatment of liver cancer.Methods A retrospective analysis was conducted on the clinical data of 105 liver cancer patients who underwent endoscopic ultrasound guided MWA treatment.All patients were followed up for 3 years after treatment and divided into survival group(n=65)and death group(n=40)based on their prognosis.A multivariate logistic regression analysis model was used to analyze the relevant factors affecting the prognosis of liver cancer treated with MWA guided by endoscopic ultrasound.Results Univariate analysis showed that gender,age,body mass index(BMI)were not associated with the prognosis of liver cancer treated with MWA guided by endoscopic ultrasound(P＞0.05);The prognosis of liver cancer treated with MWA guided by endoscopic ultrasound is related to basic disease,tumor quantity,tumor diameter,differentiation degree,Child Pugh grading,histo-ry of hepatitis,tumor progression(P＜0.05);Multivariate logistic regression analysis showed that having underlying diseases,mul-tiple tumors,tumor diameter＞5 cm,low differentiation,Child Pugh B grade,history of hepatitis,and tumor progression were high-risk factors affecting the prognosis of laparoscopic ultrasound-guided MWA treatment for liver cancer(P＜0.05).Conclusion The prognosis of laparoscopic ultrasound-guided MWA treatment for liver cancer is related to underlying diseases,multiple tumors,tumor diameter＞5cm,and low differentiation,which should be highly valued in clinical practice.
万方数据
维普
