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术前那不勒斯预后评分与胃癌患者手术预后关系的Meta分析

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目的 系统评价术前那不勒斯预后评分(NPS)与胃癌患者手术预后的关系。方法 计算机检索中国知网、万方数据知识服务平台、维普资讯中文期刊服务平台、中国生物医学文献服务系统、PubMed、Web of Science、The Cochrane Library、Embase数据库,收集术前NPS与胃癌患者手术预后关系的相关文献。对纳入文献进行筛选、资料提取和质量评价后,采用RevMan 5。3软件和Stata 15。0软件进行Meta分析。结果 共纳入7篇文献,共4 673例患者。Meta分析结果显示,术前NPS得分越高,胃癌患者术后的总生存期越差(P<0。05);术前NPS与胃癌患者术后并发症、神经侵犯、脉管侵犯、糖类抗原125、肿瘤分期为Ⅲ期相关(P<0。05)。结论 术前低NPS的胃癌患者术后的总生存期更长,术后并发症发生率更低,且术前NPS与肿瘤患者的临床病理特征具有相关性,可作为胃癌患者手术预后的预测指标。
Relation of preoperative Naples Prognostic Score with operative prognosis in patients with gastric cancer:a Meta-analysis
Objective To systematically evaluate the relation of preoperative Naples Prognostic Score(NPS)with operative prognosis in patients with gastric cancer.Methods Literature related to the relation of preoperative NPS with operative prognosis in patients with gastric cancer was collected by retrieving the databases of China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform,VIP,China Biomedical Literature Service System,PubMed,Web of Science,The Cochrane Library,and Embase.After screening literature enrolled,extracting data,and evaluating quality,the RevMan 5.3 software and Stata 15.0 software were used to perform a Meta-analysis.Results A total of 7 studies were enrolled,and there were 4673 cases of patients.The results of Meta-analysis revealed that the higher the preoperative NPS,the worse the postoperative overall survival of patients with gastric cancer(P<0.05).Preoperative NPS was related to postoperative complications,nerve invasion,vascular invasion,carbohydrate antigen 125,and tumor stage in Ⅲ stage in patients with gastric cancer(P<0.05).Conclusions Gastric cancer patients with low preoperative NPS have longer overall survival and lower incidence rate of postoperative complications,and preoperative NPS correlates with clinical and pathological characteristics of tumor patients,which can be used as a predictor for operative prognosis in patients with gastric cancer.

Gastric cancerNaples Prognostic ScoreBefore operationGastrectomyPrognosisMeta-analysis

李明珍、何韶华、陈成、刘欢、刘燕南、姚波兰、周琴、谭力铭

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怀化市第二人民医院精准医学中心,湖南省怀化市 418000

湖南医药学院护理学院,湖南省怀化市 418000

肿瘤防治怀化市重点实验室,湖南省怀化市 418000

胃癌 那不勒斯预后评分 术前 胃切除术 预后 Meta分析

湖南省自然科学基金面上项目怀化市科技创新平台怀化市科技创新平台

2022JJ304622021R22062021N2403

2024

广西医学
广西壮族自治区医学情报研究所

广西医学

CSTPCD
影响因子:1.112
ISSN:0253-4304
年,卷(期):2024.46(8)
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