首页|中性粒细胞-淋巴细胞比值是预测结直肠肿瘤良恶性的有用指标

中性粒细胞-淋巴细胞比值是预测结直肠肿瘤良恶性的有用指标

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目的:探究中性粒细胞-淋巴细胞比值(NLR)、血小板-淋巴细胞比值(PLR)预测结直肠肿瘤良恶性的价值.方法:本研究回顾了 2020年1月至2021年8月在武汉大学中南医院诊治的结直肠息肉、结直肠癌患者以及行胃肠镜检查无异常的健康人群,最终纳入337例人群资料,包括正常人群75例,腺癌患者78例,腺瘤患者184例(管状腺瘤患者134例,绒毛管状腺瘤50例),分析NLR与PLR水平与结直肠肿瘤的良恶性之间的关系.结果:腺癌组NLR、PLR水平显著高于腺瘤组,差异有统计学意义(均为P<0.001),NLR诊断腺癌与腺瘤最佳取值为2.29,NLR曲线下面积为0.743(0.679~0.807),敏感度为65.4%,特异度为73.4%.绒毛管状腺瘤的NLR水平高于管状腺瘤组(P<0.05).结论:中性粒细胞-淋巴细胞比值是预测结直肠肿瘤良恶性的有用指标.
Neutrophil-to-lymphocyte ratio is a useful marker for predicting benign and malignant of colorectal tumor
Objective:To explore the value of neutrophil-lymphocyte ratio(NLR)and platelet-to-lympho-cyte ratio(PLR)in predicting benign and malignant colorectal tumors.Methods:From January 2020 to August 2021,this study included 337 subjects with colorectal polyps and colorectal cancer who were diagnosed and treated in Zhongnan Hospital of Wuhan University,as well as healthy people without abnormality in gastrointestinal endoscopy,including 75 healthy subjects,78 patients with ade-nocarcinoma and 184 adenoma patients(134 tubular adenoma patients and 50 villous tubular adenoma patients).The associations between tumor type and clinicopathologic parameters were assessed by sta-tistical analysis.Results:Patients with adenocarcinomas showed significantly higher NLR and PLR than those with adenomas(P<0.001 and P<0.001,respectively),ROC curves showed that the area under the curve(AUC)values of NLR were 0.743(0.679-0.807).NLR of 2.29 is the cut-off value with a sensitivity of 65.4%and a specificity of 73.4%.Furthermore,patients with villous tubular ad-enoma showed a significantly higher NLR(P<0.05)than those with tubular adenoma.Conclusion:This study suggests that NLR could be a useful marker for predicting benign and malignant of colorec-tal cancer.

Neutrophil-to-lymphocyte Ratio(NLR)Platelet-to-lymphocyte Ratio(PLR)Colorectal Cancer

何江华、丁洋、常莹

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武汉大学中南医院消化内科/湖北省肠病临床研究中心/肠病湖北省重点实验室 湖北 武汉 430071

中性粒细胞-淋巴细胞比值(NLR) 血小板-淋巴细胞比值(PLR) 结直肠肿瘤

国家自然科学基金资助项目国家自然科学基金资助项目

8217298381670554

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(1)
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