2011-2017年伊朗亚兹德地区喉鳞癌患者的临床病理特征和生存率回顾性研究

S. Zahir, K. Rahmani, Meisam Mehri, M. Shafiee, S. M. R. Mortazavizadeh
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引用次数: 0

摘要

背景:本研究的目的是确定喉部鳞状细胞癌患者的临床病理特征,并评价预后因素对生存率的影响。材料与方法:对2011-2017年所有喉部鳞状细胞癌患者的资料进行分析。使用检查表提取患者数据,包括年龄、性别、肿瘤分期、使用的治疗方法和月生存率。所有资料采用SPSS-17软件进行分析,采用卡方检验、Kaplan-Meier检验和log-rank检验,p < 0.05为统计学显著性水平。结果:109例喉癌患者中,男性99例,女性10例。I期和II期以及III期患者的总体生存期比IV期患者更长。与其他阶段相比,IV期患者的平均生存率明显较低。35-59岁年龄组的患者比60-89岁年龄组的患者总生存期更长。与接受过化疗的患者相比,未接受过化疗的III期患者寿命更长。未接受喉切除术的IV期患者的生存率远低于同时接受手术和放疗或放化疗的患者。结论:手术加放疗对喉癌I期和II期患者的平均生存率有积极影响。手术和化疗或放化疗一起对晚期患者的生存有积极的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinicopathological Characteristics and Survival Rate of Patients with Laryngeal Squamous Cell Carcinoma: A Retrospective Study during 2011–2017 in Yazd, Iran
Ab s t r Ac t Background: The aim of the current study is to determine the clinicopathological characteristics of patients with laryngeal squamous cell carcinoma and evaluation of the effect of prognostic factors on survival rate. Materials and methods: The archives of all patients with laryngeal squamous cell carcinoma (2011–2017) were studied. Patients’ data were extracted using a checklist that included age, gender, tumor stage, treatment methods used, and survival rate in months. All data were analyzed by the SPSS-17 software with the Chi-square test, the Kaplan–Meier test, and the log-rank test at a statistical significance level of p < 0.05. Results: Out of 109 patients with laryngeal cancer, 99 were males and 10 were females. Patients in stages I and II and also in stage III had a longer overall survival compared to patients in stage IV. The mean survival rate was found to be significantly lower in patients in stage IV compared to those in the other stages of the disease. Patients in the age group of 35–59 years had a longer overall survival compared to the older age group (60–89 years). Patients at stage III of the disease who had not undergone chemotherapy had a greater longevity compared to the ones who had undergone the therapy. Patients at stage IV who had not undergone laryngectomy had a much lower survival rate compared to those who had used both surgery and radiotherapy or chemoradiation. Conclusion: Surgery and radiotherapy can positively affect the mean survival rate in patients at stages I and II of laryngeal carcinoma. Together surgery and chemotherapy or chemoradiation have a positive effect on the survival of patients in advanced stages of the disease.
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