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題 名 | Prognostic Factors Affecting Long-Term Survival after Partial Hepatectomy for Human Hepatocellular Carcinoma=部分肝切除手術治療肝癌後影響長期存活之預後因子 |
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作 者 | 邱守苕; 邱仁輝; 雷永耀; 周嘉揚; 龍藉泉; 吳秋文; | 書刊名 | 中華醫學雜誌 |
卷 期 | 59:3 1997.03[民86.03] |
頁 次 | 頁177-185 |
分類號 | 416.246 |
關鍵詞 | 肝切除術; 肝細胞癌; 長期預後; 腫瘤復發; Hepatectomy; Hepatocellular carcinoma; Long-term prognosis; Tumor recurrence; |
語 文 | 英文(English) |
中文摘要 | 背景:對於肝癌以肝切除手術治療後早期復發及存活之相關因子的研究,在過去幾年裡,已經有很多的報告提出。但是這些因子和病人長期預後之間的關係尚待釐清。本文之目的即在確認和肝癌術後長期預後相關之預後因子。 方法:這個回溯性的研究包括 1981 年 7 月至 1994 年 7 月間 370 位接受肝癌手術的病例。 其中 110 人在術後至少 36 個月未曾有肝癌的復發,這些人即為我們分析長期預後的樣本。我們以Kaplan-Meier's method, log rank test,以及Cox's regression model找出這些病人在手術三年以後和肝癌復發及存活相關之預後因子。此外,我們也對所有術後追蹤超過 12 個月的 324 位病人作術後早期肝癌復發相關因子之分析。 結果:腫瘤特性是決定術後早期復發及病人存活的主要因子。腫瘤特性及外科因子和病人長期預後的相關性在統計學上沒有意義。而 B 型肝炎,慢性活動性肝炎,肝細胞異生,年齡( > 60 歲)以及術前的肝功能(血清膽色素總量> 1.5 mg/dl )則是統計學上影響術後長期存活有意義的預後因子。 結論:肝臟的病理病變和宿主因子(年齡和肝臟功能)可能是影響肝癌術後長期存活之因子。 |
英文摘要 | Background: Various prognostic factors have been studied during the past few years to predict early tumor recurrence and survival in patients undergoing hepatectomy for primary hepatocellular carcinoma. However, the relationship between these factors and long-term survival has not been clarified. The purpose of this study was to identify the factors linked to long-term prognosis in patients with resectable hepatocellular carcinoma after hepatectomy. Methods: Records of 370 patients undergoing curative hepatectomy during a period from July 1981 to July 1994 were retrospectively reviewed. Only 110 patients with disease-free survival >= 36 months were eligible for long-term survival analysis. Their further outcomes, including disease-free survival and overall survival, were analyzed in correlation with various prognostic factors by Kaplan-Meier's method, log rank test, and Cox's regression model. Analysis of prognostic factors linked to early tumor recurrence after curative hepatectomy was also performed in 324 patients who were followed up >= 12 months. Results: Tumor behaviors were found to be the principal prognostic factors deter-mining the early tumor recurrence and patients' survival (p < 0.05). However, when long-term survival was analyzed, the pathological status of the liver remnant such as the presence or absence of hepatitis B virus infection, chronic active hepatitis, hepatocyte dysplasia and age (<= 60 y/o vs. > 60 y/o), as well as preoperative liver function ( total serum bilirubin <= 1.5 mg/dl vs. > 1.5 mg/dl ), were found to make significant disease-free survival differences. Conclusions: Pathological status and host factors (age and liver function) have effect upon long-term prognosis after hepatic resection for hepatocellular carcinoma. |
本系統中英文摘要資訊取自各篇刊載內容。