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題名 | 口腔癌腫瘤特性與治療方式對存活復發轉移之相關性=The Correlation among Therapies, Survival and Recurrence by the Characters of Oral Cancer Tumor |
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作者 | 陳淑賢; 蔡佩晏; 林知瑩; 周玉書; Chen, Shu-hsien; Tsai, Pei-yien; Lin, Chih-ying; Chou, Ji-sho; |
期刊 | 慈惠學報 |
出版日期 | 20131200 |
卷期 | 9 2013.12[民102.12] |
頁次 | 頁174-187 |
分類號 | 416.89 |
語文 | chi |
關鍵詞 | 國際疾病分類碼; 合併電化療; 腫瘤切源距離; 淋巴結轉移; International classification of diseases code; Combined with chemotherapy; Source distance; Lymph node metastasis of tumor; |
中文摘要 | 本研究目的在瞭解口腔癌病患依腫瘤特性與不同治療方式,分別討論經手術完全切除腫瘤,或採用電化療與合併治療等不同方式,所產生存活、復發率加以比較其差異。研究對象為台中榮民總醫院臨床記錄病例,研究期間自2000年4月至2010年8月年間。利用國際疾病分類碼ICD-10抽取有臨床記錄及進行病理切片檢查之口腔癌病患,結果共計898位進入本研究之分析。從資料中得知,患者的性別男性佔絕大多數(93.8%),女性僅有6.2%,平均年齡為51.95歲,病患年齡最輕者為23歲,年齡最高者為101歲;平均腫瘤大小為3.11公分;平均腫瘤切源距離為4.33公厘,腫瘤切源距離最大者20公厘;淋巴結轉移顆數之平均數為小於1顆,最大值為14顆。在方法上,卡方檢定分析病患之復發轉移與存活狀態之相關性、並以Kaplan-Meier之存活分析及Log-Rank檢定估算病患之五年存活率與口腔癌病患存活之關係。手術切除合併化學治療的復發率最高(80.0%)其次為僅放射線治療(52.0%);在轉移率部份是以手術切除合併放射線治療與化學治療最高,為40.0%;而全部之治療方式是以全手術治療的存活率最高(93.3%);僅進行放射線治療與合併化學治療之病患的存活率皆低於50%;在卡方檢定下,治療方式與轉移及存活狀態亦有顯著相關(P<0.001)。外科手術為治療口腔癌最主要的選擇,本研究發現治療方式與復發轉移及存活率上有明顯相關性。除了臨床照護之外,未來將針對病患之生理與心理層面作進一步之研究,以作為臨床醫師照護患者之參考,進而提升口腔癌病患之醫療品質與存活率。 |
英文摘要 | This research aims at understanding of oral cancer patients under tumor characteristics and different medical treatments, respectively. We discuss the survival, relapse rate generated by comparing the differences after completely removed the tumor by surgery or electro-chemotherapy and combined therapy in different ways, The data resource from the Taichung Veterans General Hospital clinical records cases, studies during the 2000 to 2010 year. Use of international classification of disease codes ICD-10 extract with clinical records and pathological biopsy of oral cancer patients. We find the results as a total of 898 through to the analysis of the study. The patients gender predominance of males (93.8%), females have only 6.2%, the average age for 51.95 years. Average tumor size was 3.11 centimeters; tumor cut average source distance is 4.33 mm, the tumor source distance 20 mm; number of lymph node metastasis of averages to less than 1, maximum value of 14. The correlations of patients relapse and metastasis and survival status are described with Chi-square test analysis of and Kaplan-Meier of survival analysis. By the way, Log-Rank verification are adopted to estimated five-year survival rate of patients with oral cancer patient survival. The surgical excision with highest combined radiation therapy and chemotherapy is about 40.0%. Only for combined chemotherapy and radiation therapy patient survival rates are lower than 50%; under the Chi-square test, medical treatments and survival of usage patterns in a significant way and transfer (P<0.001). This study finds that treatment and recurrence, metastasis and survival are obviously related to the clinical care, will respond to the patient's physiological and psychological level. Thus, to improve the quality of care is the mean purpose to up raise the survival of oral cancer patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。