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Ⅱ期结直肠癌患者术后肝转移的危险因素分析及其列线图预测模型研究
黄理哲
0
广西中医药大学附属瑞康医院南宁 530000
摘要:
目的:探讨Ⅱ期结直肠癌患者根治性切除术后肝转移的危险因素,并构建列线图风险预测模型。方法:选取 2017年 1月—2018年 7月于我院行根治性切除术治疗的结直肠癌患者 156例,收集患者临床资料,依据随访期间患者肝转移发生情况将其分为无肝转移组( n=97)和肝转移组( n=59),采用单因素和多因素 Logistic回归分析结直肠癌患者术后肝转移的独立危险因素,并构建列线图预测模型。结果: 156例结直肠癌患者中,97例患者未出现肝转移,3年无肝转移生存率为
关键词:  Ⅱ期结直肠癌  肝转移  影响因素  列线图  预测
DOI:10.3969/j.issn.1007-6948.2022.04.012
投稿时间:2021-10-11
基金项目:
Risk Factors Analysis of Postoperative Liver Metastasis in Patients with Stage Ⅱ Colorectal Cancer and Application Value of Nomogram Prediction Model
HUANG Li-zhe
Ruikang Hospital af.liated to Guangxi University of Traditional Chinese Medicine, Nanning 530000, China
Abstract:
Objective To explore the risk factors of liver metastasis after radical resection in patients with stage Ⅱ colorectal cancer, and to construct a nomogram risk prediction model. Methods 156 patients with colorectal cancer who underwent radical resection in our hospital from January 2017 to July 2018 were selected. The clinical data were collected. According to the occurrence of liver metastasis during the follow-up period, they were divided into no liver metastasis group (n = 97) and liver metastasis group (n = 59). Univariate and multivariate logistic regression were used to analyze the independent risk factors of postoperative liver metastasis in patients with colorectal cancer, and a nomogram prediction model was constructed. Results Among 156 patients with colorectal cancer, 59 patients had liver metastasis. The 3-year survival rate without liver metastasis was 62.18% (97/156). Univariate analysis showed that tumor diameter, degree of differentiation, T stage, vascular
Key words:  Stage Ⅱ colorectal cancer  liver metastasis  in.uencing factors  Nomograph  forecast

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