福建地区口腔癌预后影响因素的研究
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福建医科大学1. 公共卫生学院 流行病与卫生统计学系,福州350108;
2. 附属第一医院 口腔颌面外科,福州350005

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R181

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收稿日期: 2014-03-26
基金项目: 福建省教育厅科研项目(JA13141);福建医科大学苗圃基金(2010MP019)
作者单位: 福建医科大学1. 公共卫生学院 流行病与卫生统计学系,福州350108;2. 附属第一医院 口腔颌面外科,福州350005
作者简介: 何保昌(1978-),男,讲师,医学硕士


Study on the Prognostic Predictors of Oral Cancer in Fujian Area
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1.Department of Epidemiology and Statistics, College of Public Health, Fujian Medical University, Fuzhou 350108, China;
2.Department of Stomatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China

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    摘要:

    目的探索福建地区口腔癌预后的影响因素。方法采用前瞻性临床随访设计,随访705例口腔癌患者,收集确诊病例的临床资料及随访生存情况,运用COX回归探讨口腔癌预后影响因素的风险比例(HR)及其95%可信区间(CI)。结果性别、文化程度、饮酒、肿瘤家族史、肿瘤大小、肿瘤复发、首诊淋巴结转移、T分期、M分期、组织学分级、手术治疗、口腔卫生是影响口腔癌总体生存期的预后因素(P<0.05)。结论患者的性别、文化程度、饮酒、肿瘤家族史、肿瘤大小、肿瘤复发、首诊淋巴结转移、T分期、M分期、组织学分级、手术治疗、口腔卫生与口腔癌的预后有关。

    Abstract:

    ObjectiveTo explore the factors influencing the prognosis of oral cancer in Fujian area.MethodsAll qualified patients were followed prospectively every 6 months from the time of enrollment of the patients or their family contacts.The clinical and follow-up data of 705 patients were gathered to explore the prognosis factors of oral cancer.Cox regression was used to calculate the hazard ratio and 95% confidence intervals of prognosis factors.ResultsGender, education level, alcohol drinking, family history of cancer, tumor size, tumor recurrence, diagnosis of lymph node metastasis for the first time, T stage, M stage, histological grade, surgical treatment and oral hygiene were prognostic factors affecting the overall survival of oral cancer(P<0.05).ConclusionsThere is association between gender, education level, alcohol drinking, family history of cancer, tumor size, tumor recurrence, diagnosis of lymph node metastasis for the first time, T stage, M stage, histological grade, surgical treatment and oral hygiene and the prognosis of oral cancer.

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何保昌, 陈法, 林李嵩, 邱宇, 蔡琳.福建地区口腔癌预后影响因素的研究[J].福建医科大学学报自然版,2014,(3):183-189

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