|本期目录/Table of Contents|

[1]林琼真,胡子良,周戈,等.CT特征对肺腺癌患者间隙转移风险模型的构建分析[J].中华肺部疾病杂志,2021,(03):308-311.[doi:10.3877/cma.j.issn.1674-6902.2021.03.010]
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CT特征对肺腺癌患者间隙转移风险模型的构建分析(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年03期
页码:
308-311
栏目:
临床研究
出版日期:
2021-06-20

文章信息/Info

Title:
-
作者:
林琼真; 胡子良; 周戈; 林英
363000 漳州,联勤保障部队第九〇九医院医学影像科
Author(s):
-
关键词:
肺腺癌;  间隙转移;  计算机断层扫描特征;  预测模型
Keywords:
-
分类号:
R734.2
DOI:
10.3877/cma.j.issn.1674-6902.2021.03.010
摘要:
目的 应用计算机断层扫描(CT)特征的预测模型以预测肺腺癌患者间隙转移(STAS)风险。方法 纳入2016年1月至2019年1月我院收治的82例肺腺癌患者为对象; 所有患者均接受肺腺癌常规治疗,收集患者入院时人口学资料、临床资料特征,根据患者是否有STAS分为有转移组31例和无转移组51例; 采用Cox回归方程分析肺腺癌患者STAS的风险因子并构建风险预测模型,并分析其预测效能。结果 单变量分析显示有转移组 肺腺癌亚型、术后临床分期组间比较差异均有统计学意义(P<0.05),CT特征CTR、pGGNs、SNs、囊性空域、玻璃结节、肺肿瘤边界模糊、胸膜粘连组间差异有统计学意义(P<0.05); Cox分析显示肺腺癌亚型(HR=4.304)、术后临床分期(HR=3.405)、肿瘤最大径(HR=2.178)、胸膜凹陷征(HR=4.883)、空气支气管征(HR=0.207)是肺腺癌患者STAS的风险因素; ROC曲线显示模型预测肺腺癌患者STAS的曲线下面积为0.714。结论 肺腺癌亚型、术后临床分期、肿瘤最大径、胸膜凹陷征、空气支气管征是肺腺癌患者STAS的风险因素,建立的预测模型为临床识别肺腺癌患者STAS的高危患者提供参考。
Abstract:
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参考文献/References:

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备注/Memo

备注/Memo:
基金项目: 福建省科学技术厅资助项目(2019Y3007)
通信作者: 林 英, Email: 147509392@qq.com
更新日期/Last Update: 2021-06-20