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. 2020 Jan;41(1):16–22. [Article in Chinese] doi: 10.3760/cma.j.issn.0253-2727.2020.01.004

表3. 155例在第1次完全缓解且微小残留病阴性(CR1/MRD)状态下接受allo-HSCT患者的总生存和无复发生存影响因素的多因素分析.

因素 总生存
无复发生存
HR(95%CI P HR(95%CI P
年龄(<38岁,≥38岁) 0.564(0.212~1.553) 0.232 0.653(0.324~1.462) 0.263
ECOG体能评分(1分,2~3分) 0.342(0.453~1.252) 0.364 0.626(0.365~1.375) 0.453
预处理方案(RIC,MAC) 0.925(0.523~1.654) 0.921 1.532(0.623~1.734) 0.917
诱导化疗后获得CR1/MRD(是,否) 0.837(0.338~1.834) 0.649 0.686(0.311~1.562) 0.664
移植前巩固化疗疗程(<2个,≥2个) 1.780(0.791~2.085) 0.747 1.179(0.575~2.467) 0.761
CR1/MRD后接受巩固化疗(是,否) 0.313(0.464~1.168) 0.376 0.675(0.486~1.482) 0.457
获得CR1/MRD至移植间隔(时依协变量) 0.750(0.423~1.257) 0.294 0.731(0.476~1.294) 0.253
染色体核型(低危,中/高危) 0.623(0.372~1.081) 0.185 0.534(0.328~1.158) 0.195
NPM1突变 0.495(0.291~0.849) 0.126 0.550(0.367~1.158) 0.241
FLT3-ITDhigh 1.972(1.144~3.401) 0.018 2.008(1.168~3.461) 0.012
RUNX1突变 0.999(0.993~1.005) 0.721 0.875(0.513~1.464) 0.572
ASXL1突变 0.997(0.998~1.007) 0.589 0.992(0.890~1.008) 0.442
TP53突变 1.251(0.672~2.231) 0.032 1.275(0.524~2.571) 0.041

注:allo-HSCT:异基因造血干细胞移植;RIC:减低剂量预处理;MAC:清髓预处理;FLT3-ITDhigh:等位基因高频突变(≥0.5)