【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 prognostic analysis of epithelial ovarian cancer in aged women
LI Ziting, YANG Youyi, WEI Ke. * Department of Gynecology, Cancer Hospital of Shanghai Medical University, Shanghai 200032
【Abstract】 Objective To study the prognostic factors of epithelial ovarian cancer in aged women. Methods Twelve factors that probably affect the prognosis of epithelial ovarian cancer were selected and their relations to cumulative survival rate were analyzed using COX model. Eighty-eight cases of surgico-pathologically confirmed epithelial ovarian cancer, with age over 60 years, were studied. Results The 5-year survival rate by life table is 34.6%. FIGO staging, residual tumor size and postoperative treatment are independent factors for survival (P＜0.05). Conclusions High-risk populations can be found through prognostic analysis of clinical data, and more effective treatment should be given to them to improve the prognosis.
【Key words】 Ovarian neoplasma Prognostic
有报道老年妇女比年轻妇女更易患卵巢癌〔1〕。我们采用COX模型对88例年龄≥60岁的老年上皮性卵巢癌患者进行多因素分析，探讨影响预后的危险因素，以期有助于制订合理的治疗方案、提高疗效及改善预后。
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