[1]何 伟1,吴 琼2.结直肠癌肝转移的危险因素分析[J].内蒙古医科大学学报,2019,41(04):340-343.
 .ANALYSIS OF RISK FACTORS FOR LIVER METASTASES OF COLORECTAL CANCER[J].Acta Academiae Medicinae Neimongol,2019,41(04):340-343.
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结直肠癌肝转移的危险因素分析()
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《内蒙古医科大学学报》[ISSN:1004-2113/CN:15-1129/R]

卷:
41
期数:
2019年04期
页码:
340-343
栏目:
出版日期:
2019-08-12

文章信息/Info

Title:
ANALYSIS OF RISK FACTORS FOR LIVER METASTASES OF COLORECTAL CANCER
文章编号:
2095-512X(2019)04-0340-04
作者:
何 伟1 吴 琼2
1.攀钢集团总医院 普外科,四川 攀枝花 617000; 2.内蒙古医科大学附属医院 影像诊断科
Author(s):
HE Wei WU Qiong
Panzhihua Group General Hospital,Panzhihua 617000,China
关键词:
结直肠癌肝转移多因素
Keywords:
colorectal cancerliver metastasesmultiple factors
分类号:
R605
文献标志码:
A
摘要:
目的:分析影响结直肠癌肝转移的危险因素。方法:回顾性分析 154 例结直肠癌病人临床资料,采 用 logistics 回归分析法分析影响结直肠癌肝转移的独立危险因素。结果:154 例病人中,71 例发生肝转移 (46.10%),83 例未发生肝转移(53.90%);原发瘤分化程度、CEA、原发瘤区域淋巴结转移、肝转移瘤切缘、是否 输血是影响结直肠癌病人肝转移单因素(P<0.05);其中原发瘤中低分化、CEA≥5 ng / mL、原发瘤区域淋巴结转 移和术中输血是影响结直肠癌病人肝转移独立危险因素(OR = 1.265、1.357、1.411、1.520,P<0.05)。结论:原发 瘤中低分化、CEA≥5 ng / mL、原发瘤区域淋巴结转移、术中输血是影响结直肠癌病人肝转移的独立危险因素,临 床治疗中可综合上述独立危险因素,合理评估病人病症。
Abstract:
Objective:To analyze the risk factors affecting liver metastases of colorectal cancer. Methods:The clinical data of 154 patients with colorectal cancer were retrospectively analyzed.Logistic regression analysis was used to analyze the independent risk factors affecting liver metastases of colorec tal cancer.Results:Among the 154 patients,71 cases(46.10%)were with liver metastases and 83 cases (53.90%)without liver metastases.Primary tumor differentiation degree,CEA,lymph node metastasis in primary tumor area,incisal margin of liver metastases and blood transfusion or not were single factors affecting liver metastases in patients with colorectal cancer(P<0.05).Among them,low differentiation of primary tumor,CEA≥5 ng / mL,lymph node metastasis in primary tumor area and intraoperative blood transfusion were independent risk factors for liver metastases in patients with colorectal cancer (OR = 1.265、1.357、1.411、1.520,P<0.05).Conclusion:Low differentiation of primary tumor,CEA≥5 ng / mL,lymph node metastasis in primary tumor area and intraoperative blood transfusion are independ ent risk factors for liver metastases in colorectal cancer patients.The above independent risk factors can be integrated in clinical treatment to reasonably evaluate disease of patients.

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备注/Memo

备注/Memo:
收稿日期:2019-04-18;修回日期:2019-07-16 作者简介:何伟(1980-),男,攀钢集团总医院普外科主治医师。 通讯作者:吴琼,副主任医师,医学博士,硕士研究生导师,E-mail:33360023@ qq.com 内蒙古医科大学附属医院影像诊断科,010050
更新日期/Last Update: 2019-09-18