关键词：卵巢肿瘤/诊断；预后
【摘要】 目的 探讨老年妇女上皮性卵巢癌患者的预后因素。 方法 选择12个可能对上皮性卵巢癌预后产生影响的临床因素，利用累积生存率，对经手术病理证实的88例上皮性卵巢癌进行COX模型多因素分析。 结果 12个因素中，FIGO分期、残留灶大小、术后治疗是影响老年妇女上皮性卵巢癌预后的独立因素(P<0.05)。按寿命表法计算的5年生存率为34.6%。 结论 采取积极有效的治疗方案，有助于改善老年妇女上皮性卵巢癌患者的预后，提高生存率。
COX model prognosticanalysis of epithelial ovarian cancer in aged women
LI Ziting , YANGYouyi, WEI Ke. * Departmentof Gynecology, Cancer Hospital of Shanghai Medical University, Shanghai 200032
【Abstract】 Objective To study theprognostic factors of epithelial ovarian cancer in aged women. Methods Twelvefactors that probably affect the prognosis of epithelial ovarian cancer were selected andtheir relations to cumulative survival rate were analyzed using COX model. Eighty-eightcases of surgico-pathologically confirmed epithelial ovarian cancer, with age over 60years, were studied. Results The 5-year survival rate by life tableis 34.6%. FIGO staging, residual tumor size and postoperative treatment are independentfactors for survival (P<0.05). Conclusions High-risk populationscan be found through prognostic analysis of clinical data, and more effective treatmentshould be given to them to improve the prognosis.
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