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    郑静娴, 王晓杰, 余家密, 詹周伟, 陈誉, 陈玲, 林晶, 陈丽珠, 黄于芳, 郭增清. 血常规及乳酸脱氢酶与胃癌根治术后患者预后的相关性研究[J]. 徐州医科大学学报, 2020, 40(12): 887-892. DOI: 10.3969/j.issn.2096-3882.2020.12.006
    引用本文: 郑静娴, 王晓杰, 余家密, 詹周伟, 陈誉, 陈玲, 林晶, 陈丽珠, 黄于芳, 郭增清. 血常规及乳酸脱氢酶与胃癌根治术后患者预后的相关性研究[J]. 徐州医科大学学报, 2020, 40(12): 887-892. DOI: 10.3969/j.issn.2096-3882.2020.12.006
    Correlation between blood routine and lactate dehydrogenase in the evaluation of prognosis of gastric cancer[J]. Journal of Xuzhou Medical University, 2020, 40(12): 887-892. DOI: 10.3969/j.issn.2096-3882.2020.12.006
    Citation: Correlation between blood routine and lactate dehydrogenase in the evaluation of prognosis of gastric cancer[J]. Journal of Xuzhou Medical University, 2020, 40(12): 887-892. DOI: 10.3969/j.issn.2096-3882.2020.12.006

    血常规及乳酸脱氢酶与胃癌根治术后患者预后的相关性研究

    Correlation between blood routine and lactate dehydrogenase in the evaluation of prognosis of gastric cancer

    • 摘要: 目的 探讨中性粒细胞与淋巴细胞比值(neutrophil-to-lymphocyte,NLR)、淋巴细胞与单核细胞比值(lymphocyte-to-monocyte ratio,LMR)、血小板与淋巴细胞比值(platelet-to-lymphocyte ratio,PLR)、乳酸脱氢酶(LDH)与胃癌根治术后患者预后的相关性.方法 收集110例在我院胃肠外科行根治性胃癌手术患者的病理学资料及随访资料,利用Kaplan-Meier法计算生存率,Log rank检验分析不同分组之间的差异,应用Cox回归分析影响根治性胃癌术后预后的因素.结果 随访病例共110例,其中Ⅰ~Ⅱ期40例,Ⅲ期70例.全组患者随访13~96个月,中位随访时间为80.9个月.110例随访患者中,有44例死于胃癌,66例仍生存.对不同临床病理因素胃癌患者的生存情况进行分析显示,不同TNM分期、淋巴结转移、NLR和LDH水平的胃癌患者预后的差异具有统计学意义(均P<0.05),而不同年龄、性别、肿块大小、分化程度、PLR和LMR水平的患者预后的差异无统计学意义(P>0.05).不同NLR、PLR水平患者的肿瘤分化程度差异明显(均P<0.05);不同LMR、LDH水平患者的TNM分期不同(均P<0.05);LDH还与PT分期即局部浸润程度有关,差异具有统计学意义(P<0.05).对影响胃癌患者预后的变量进行Cox多因素回归分析结果显示,TNM分期、NLR水平和LDH为影响胃癌患者预后的独立因素(均P<0.05).结论 TNM分期、NLR水平和LDH为影响胃癌患者预后的独立因素.

       

      Abstract: ob<x>jective To explore the prognostic value of NLR(Lneutrophil-to-lymphocyte)、LMR (lymphocyte-to-monocyte ratio)、PLR(platelet-to-lymphocyte ratio)、lactic dehydrogenase in the patient of gastric cancer。Methods In this retrospective analysis,110 patients’clinical data with gastric cancer treated in The Fujian province hospital from January 2009 to June 2019.The clinical information including age and gender,stages,lymphatic me<x>tastasis,and the first blood test information were collected.The Kaplan-Meier,Log-rank,Cox were performed for the analysis of prognostic factors.Results A total fo 110 patients were enrolled in this Study,of which I -Ⅱ stage group 40 cases, 70 cases of phase III.All patients were followed up for 13-96 months, with a median follow-up time of 80.9 months.Of the 110 patients followed up, 44 died of gastric cancer and 66 survived.The results of survival analysis of gastric cancer patients with different clinicopathological factors showed that the prognosis of gastric cancer patients was correlated with TNM stage, lymph node me<x>tastasis, NLR and LDH (all P<0.05), which was not related to the patient’s age, gender, tumor size, differentiation degree, PLR, and LMR.NLR and PLR were correlated with the degree of tumor differentiation (all P<0.05).The groups of LMR and LDH were related to TNM stage of patients (all P<0.05), and LDH was also related to PT stage, namely local infiltration degree (P<0.05), with statistically significant differences.Cox multivariate regression analysis was performed on the variables affecting the prognosis of patients with gastric cancer, and the results showed that TNM staging, NLR level and LDH were independent factors affecting the prognosis of patients with gastric cancer (all P<0.05).Conclusion TNM stage, NLR level and LDH are independent factors affecting the prognosis of patients with gastric cancer.

       

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