首页|血清miR-28-3p、miR-23a表达水平与非小细胞肺癌射频消融治疗患者预后的相关性

血清miR-28-3p、miR-23a表达水平与非小细胞肺癌射频消融治疗患者预后的相关性

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[目的]探讨血清miR-28-3p和miR-23a表达水平与非小细胞肺癌(NSCLC)患者接受射频消融(RFA)治疗预后的相关性.[方法]94例采用RFA治疗的NSCLC患者,根据随访患者的生存状况,分为存活组(74例)和死亡组(20例),比较两组患者的血清miR-28-3p、miR-23a水平,采用Spearman相关性分析血清miR-28-3p、miR-23a水平与患者预后的相关性,并构建受试者工作特征(ROC)曲线分析血清miR-28-3p、miR-23a水平联合检测对患者预后的预测价值.[结果]存活组患者的血清miR-28-3p、miR-23a水平均低于死亡组(P<0.05);Spearman分析结果显示,血清miR-28-3p、miR-23a水平与NSCLC患者不良预后呈正相关(P<0.05);ROC曲线分析结果显示,血清miR-28-3p、miR-23a水平联合检测对患者预后的预测灵敏度、特异度分别为95.0%、97.3%,曲线下面积(AUC)为0.986,均优于两者单独检测(P<0.05).[结论]血清miR-28-3p和miR-23a水平与采用RFA治疗的NSCLC患者的不良预后呈正相关,两者联合检测预测患者的预后具有高灵敏度和特异度.
Correlation of Serum miR-28-3p and miR-23a Levels with Prognosis of Patients with Non-Small Cell Lung Cancer Treated with Radiofrequency Ablation
[Objective]To investigate the correlation between the expression levels of serum miR-28-3p and miR-23a and the prognosis of patients with non-small cell lung cancer(NSCLC)undergoing radiofrequency ablation(RFA)treatment.[Methods]A total of 94 NSCLC patients treated with RFA were included in the study.Based on the survival status of the patients during follow-up,they were divided into a survival group(74 cases)and a deceased group(20 cases).The serum levels of miR-28-3p and miR-23a were compared between the two groups.Spearman correlation was used to assess the relationship between serum miR-28-3p and miR-23a levels and the prognosis of the patients.Receiver operating characteristic(ROC)curves were con-structed to analyze the predictive value of combined detection of serum miR-28-3p and miR-23a levels for pa-tient prognosis.[Results]The serum levels of miR-28-3p and miR-23a in the survival group were lower than those in the deceased group(P<0.05).Spearman analysis showed that serum miR-28-3p and miR-23a levels were positively correlated with poor prognosis in NSCLC patients(P<0.05).ROC analysis indicated that the combined detection of serum miR-28-3p and miR-23a levels had a sensitivity of 95.0%and a specificity of 97.3%for predicting patient prognosis,with an area under the curve(AUC)of 0.986,which was superior to the detection of each marker alone(P<0.05).[Conclusion]The levels of serum miR-28-3p and miR-23a are positively correlated with poor prognosis in NSCLC patients treated with RFA.Combined detection of these two markers has high sensitivity and specificity for predicting patient prognosis.

Carcinoma,Non-Small-Cell LungMicroRNAs/BLRadiofrequency AblationPrognosis

冯艳亮、李业、李浩

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中国人民解放军联勤保障部队第九八九医院肿瘤血液科,河南 平顶山 467000

中国人民解放军总医院第一医学中心介入放射科,北京 100039

中国人民解放军联勤保障部队第九八九医院介入放射科,河南 平顶山 467000

癌,非小细胞肺 微RNAs/血液 射频消融术 预后

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(6)
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