| Objective:In order to study effects of the treatment of initial standardization influence on the prognosis of patients with epithelial ovarian cancer. Methods:a retrospective analysis of during2004on January1, to November30,2010guangxi medical university affiliated hospital of tumor, the women were epithelial ovarian cancer patients cases material, Kaplan-Meier survival estimates and COX proportional hazards model adjusted for covariates were used for analyses.. Results:256cases of epithelial ovarian cancer patients, only92patients completed the surgical treatment of the standard and postoperative standard chemotherapy, most epithelial ovarian cancer patients first treatment is not standard. Standardized treatment group and the Don’t standardization of the treatment group epithelial ovarian cancer patients, the median PFS respectively for38months and18months, the difference has statistical significance (P=0.023). Standardized treatment group and the Don’t standard of treatment group total OS were50.09months and30.98months, the difference has a significant statistically (P=0.000). Initial treatment in our hospital and in other hospital patients’, the median PFS respectively for35months and18months, compared the difference has statistically significant (p=0.023). Initial treatment in our hospital and in other hospital patients’, The overall OS respectively for51.31months and30.82months, compared the difference has statistically significant (p=0.005). Patients’ age, pathological types, differentiation degree, the clinical stages, residue focal size, lymph node metastasis, standardized treatment or Don’t standardized treatment, first treated in cancer specialist hospital or Don’t in cancer specialist hospital, epithelial ovarian cancer relationship between the prognosis of patients with multiple factors COX risk proportion regression analysis. The results showed that FIGO staging, organization differentiation degree, the size of the residual lesions (>1cm or <1cm), lymph node metastasis, first time treatment be standard, first treatment whether in specialized subject hospital is the effect of epithelial ovarian cancer patients independent prognostic factors (P<0.05). Conclusion:epithelial ovarian cancer first treatment be standard and the first hospital with level are influence epithelial ovarian cancer patients prognostic factors, epithelial ovarian cancer patients been concentrated to the tumor specialized hospital for centralized treatment patients can improve standardized OS and PFS. objective:Explore use of computer network technology to regulate epithelial ovarian cancer of the initial treatment, so as to improve epithelial ovarian cancer survival in patients with quality and survival time. Methods:in Java Web framework to establish a computer model that based on Struts、Spring、Hibernate architecture technique, used to regulate the epithelial ovarian cancer diagnosis and treatment of primary treatmente. Use Struts architecture as the presentation layer, Spring architecture as the business framework layer, Hibernate architecture as the lasting layer, establish a unified framework for Web development. We use Eclipse3.5for system development environment, Mysq15.5for the backend database for the Web application server, Tomcat6.0, such as IE and Firefox browser as operation environment. Results:After Struts,Spring,Hibernate integrate perfectly form an unified framework for Web development.in Java Web framework,our establish a diagnosis and treatment of computer models that based on Struts,Spring,Hibernate technology to standard epithelial ovarian cancer primary treatment. This system has the personal information of patients, the search queries, the article entry, calculator, the diagnosis and treatment process of epithelial ovarian cancer initial treatment, chemotherapy treatment process of postoperative, follow-up monitoring, background management functions and so on. Conclusion:To standard epithelial ovarian cancer of the initial treatment in improve patients with quality of life and survival time have very important function, we establish a computer intelligence system that based on Struts, Spring and Hibernate framework integration,by this system can standard epithelial ovarian cancer diagnosis and treatment of primary treatment.Realized through the computer network technology to standard of the epithelial ovarian cancer treatment。Through guide basic-level hospital’s gynecologist doctor in-depth and more easy to understand the diagnosis and treatment of the epithelial ovarian cancer at home and abroad, guide the basic-level hospital’s gynecologist doctor how to establish a humanized, standard and scientific system of the epithelial ovarian cancer diagnosis and treatment. |
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