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目的 :分析影响幕上星形细胞瘤患者生存的因素 .方法 :选取性别、年龄、部位、术前KPS评分、术前癫痫、病理级别、瘤周水肿、瘤 脑组织界面、肿瘤内钙化、肿瘤囊变、肿瘤家族史、手术方式、术后放疗、肿瘤大小等 1 4个可能影响幕上星形细胞瘤患者生存期的因素用Kaplan Meier法和Cox回归分析 .结果 :用Kaplan Meier法单因素分析显示年龄、部位、术前KPS评分、病理级别、瘤周水肿、瘤 脑组织界面、肿瘤内钙化、肿瘤囊变、肿瘤家族史、手术方式、术后放疗、肿瘤大小等 1 2个因素是影响幕上星形细胞瘤患者生存期的危险因素 ;Cox回归多因素分析显示部位、术前KPS评分、病理级别、手术方式、术后放疗、肿瘤大小 6个因素对幕上星形细胞瘤患者生存期的影响具有统计学意义 .结论 :结合预后影响因素、注意治疗中的各环节 ,合理安排治疗模式 ,将有助于不断改善幕上星形细胞瘤患者的预后
OBJECTIVE: To analyze the factors affecting the survival of patients with supratentorial astrocytoma.Methods: The gender, age, location, preoperative KPS score, preoperative epilepsy, pathological grade, peritumor edema, tumor brain tissue interface, intracranial calcification, Factors such as cystosis, family history of tumor, surgical procedure, postoperative radiotherapy, tumor size and other factors that may affect the survival of supratentorial astrocytoma patients were analyzed by Kaplan Meier method and Cox regression.Results: Kaplan Meier single factor Analysis showed that age, location, preoperative KPS score, pathological grade, peritumoral edema, tumor brain tissue interface, intracellular calcification, tumor cyst, family history of the tumor, operation mode, postoperative radiotherapy, tumor size and other factors Cox regression multivariate analysis showed that the location, preoperative KPS score, pathological grade, surgical methods, postoperative radiotherapy, tumor size of 6 factors on supratentorial astrocytoma patients The effect of survival was statistically significant.Conclusion: Combining the prognostic factors, pay attention to the various aspects of treatment, rational arrangement of treatment patterns, will help continue The good is the screen prognosis of patients with tumor astrocytoma