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目的 :探讨影响胰腺癌的预后因素。方法 :对 113例病例资料完整的胰腺癌病例进行回顾性统计 ,应用COX比例风险模型对 9项指标进行了多因素分析 ,并用Kap lan Meier法计算其生存率。结果 :本组生存期 0 .1～ 82 .0个月 ,中位生存期 3.0个月。 6、12、18、36月的生存率分别为35 6 %、2 0 3%、15 9%、6 2 %。多变量分析显示 ,影响胰腺癌预后最明显的因素是黄疸、转移、治疗方式以及是否行综合治疗。结论 :胰腺癌预后由多种因素决定 ,伴有黄疸、转移的的胰腺癌病人预后差 ,行根治性切除术、综合治疗可改善预后。
Objective: To investigate the prognostic factors affecting pancreatic cancer. Methods: A total of 113 cases of pancreatic cancer data were retrospectively analyzed. Cox proportional hazards model was used to analyze the multivariate analysis of 9 indicators and Kaplan Meier method to calculate the survival rate. Results: The survival of this group was 0. 1 to 82. 0 months, the median survival of 3.0 months. The survival rates at 6, 12, 18 and 36 months were 35 6%, 20 3%, 15 9% and 62%, respectively. In the multivariate analysis, the most significant factors influencing the prognosis of pancreatic cancer were jaundice, metastasis, treatment modalities and comprehensive treatment. Conclusion: The prognosis of pancreatic cancer depends on many factors. Patients with jaundice and metastatic pancreatic cancer have a poor prognosis. Radical resection and comprehensive treatment can improve prognosis.