首页|治疗前淋巴细胞与C反应蛋白比值对结外NK/T细胞淋巴瘤预后的判断价值

治疗前淋巴细胞与C反应蛋白比值对结外NK/T细胞淋巴瘤预后的判断价值

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目的:探讨治疗前淋巴细胞与C反应蛋白比值(LCR)对结外NK/T细胞淋巴瘤(ENKTL)预后的判断价值.方法:回顾性分析郑州大学第一附属医院收治的203 例初诊为ENKTL患者的临床资料,ROC曲线得到LCR预测5a总生存期(OS)的最佳截断值,并根据截断值将患者分为两组,绘制Kaplan-Meier生存曲线,采用Cox回归分析无进展生存期(PFS)和OS的影响因素.结果:LCR预测5aOS的最佳截断值为 0.19,低LCR组患者预后较差(P<0.001).Cox回归分析结果表明,低LCR组ENKTL患者预后较差,PFS和OS的HR(95%CI)分别为 0.462(0.336~0.636)和0.381(0.275~0.527).结论:治疗前LCR可影响ENKTL预后,低LCR患者的预后较差.
Prognostic value of pre-treatment lymphocyte-to-C-reactive protein ratio in patients with extra-nodal natural killer/T-cell lymphoma
Aim:To investigate the value of lymphocyte-to-C-reactive protein ratio(LCR)for predicting prognosis of patients with extra-nodal natural killer/T-cell lymphoma(ENKTL)before treatment.Methods:Clinical data of 203 patients with ENKTL admitted to the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed.The optimal cut-off value of LCR predicting 5 years overall survival(OS)was obtained by ROC curve,and the patients were allocated into 2 groups according to the cut-off value.The Kaplan-Meier curve was used to analyze the prognosis of patients in different LCR groups.Cox regression was used to analyze the influencing factors of progression-free survival(PFS)and OS.Results:The optimal cut-off value of LCR predicting 5 years OS was 0.19.Patients in low LCR group had poor prognosis(P<0.001).Cox regression analysis showed that low LCR group had poor prognosis,and HR(95%CI)of PFS and OS was0.462(0.336-0.636)and 0.381(0.275-0.527).Conclusion:LCR before treatment is a new prognostic marker for ENKTL patients.Patients with low LCR may have worse prognosis.

lymphocyte-to-C-reactive protein ratioextra-nodal natural killer/T-cell lymphomaprognosis

翟素娜、张羲茜、李冰妍、赵静宜、李荣臻、杨道科

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郑州大学第一附属医院放疗科 郑州 450052

淋巴细胞与C反应蛋白比值 结外NK/T细胞淋巴瘤 预后

河南省医学科技攻关计划省部共建项目河南省医学科技攻关计划联合共建项目

SB201901037LHGJ20190046

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(5)