目的探讨膀胱癌术后患者预后现状和影响因素。方法查阅膀胱癌术后预后相关文献,总结可能影响因素并将其自编成问卷对2005年6月~2011年6月在我院泌尿外科住院治疗的68例膀胱癌患者进行调查,采用二分类Logistic回归分析膀胱癌预后现状和影响因素,为采取针对性干预措施提供参考依据。结果膀胱癌术后患者预后良好率为38.24%,而预后不良率为61.76%。多因素Logistic回归分析显示高龄、肿瘤组织学分级和淋巴结转移是影响膀胱癌患者预后的危险因素,而膀胱癌全切除术是影响膀胱癌患者预后的保护因素。结论膀胱癌术后患者预后欠佳,且受多方面因素的影响,早期发现并充分切除肿瘤能够明显提高膀胱癌患者的预后。
Objective To investigate prognosis status and its intluential iactors ot bladder cancer. Methods The chm- cal data of sixty-eight the patients with bladder cancer who were treated in the uropoiesis surgical department in our hospital from June 2005 to June 2011 were collected. Then the collected clinical data of the patients with bladder cancer were analyzed by the SPSS 16.0 for binary classification logistic regression analysis to find out prognosis status and its influential factors of bladder cancer. Results The good prognosis rate was 38.24%, bad prognosis rate was 61.76%, classification logistic regression analysis showed that older age, tumor histological grading and lymph node metastasis had risk factors, total resection of bladder cancer is a protective factor. Conclusion The prognosis status of bladder cancer is bad, it is affected by various factors.Early detection and fully removing the tumor obviously improves the prognosis of patients with bladder cancer.