影响急性髓系白血病预后的因素

Bao‐an Chen, Yi Zhu, Fei Wang, Xue Wu
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引用次数: 0

摘要

目的:探讨影响成人急性髓性白血病(AML)预后的因素。方法:选取东南大学附属中大医院7年来首次治疗的AML患者51例,调查性别、年龄(60岁)、白细胞计数(>=30*109/L)、是否有MDS病史等与生存率相关的因素。结果:年龄和MDS前驱病史是影响OS的独立预后因素。CD19阴性、CD11b阳性、CD64阴性患者发病时的OS率均显著低于无上述因素的患者,差异均有统计学意义(P<0.05)。结论:AML患者预后受多种因素影响,应根据危险因素对预后进行分层,针对不同年龄段患者选择合适的化疗方案。
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Factors Influencing the Prognosis of Acute Myeloid Leukemia
Objective: To investigate the prognostic factors of adult acute myeloid leukemia (AML). Methods: A total of 51 patients with AML initially treated in Zhongda Hospital affiliated to Southeast University in the past 7 years were selected to investigate the gender, age (60-year-old) and WBC count (>=30*109/L), whether there is a history of MDS and other factors related to survival rate. Results: The results showed that age and the history of MDS prodrome were independent prognostic factors affecting OS. The OS rates of CD19 negative, CD11b positive and CD64 negative patients were significantly lower than those without the above factors at the onset of the disease, and the differences were statistically significant (all P<0.05). Conclusion: The prognosis of AML patients is affected by multiple factors, so prognosis should be stratified according to risk factors, and appropriate chemotherapy regimens should be selected for patients of different age groups.
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