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子宫内膜癌患者凝血功能指标变化及其与病理特征、预后的关系

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目的 探讨子宫内膜癌(EC)患者凝血功能指标变化及其与病理特征、预后的关系。方法 选取2020年4月至2021年4月郑州大学附属人民医院收治的64例EC患者为EC组,另选取同期我院收治的64例子宫内膜良性病变患者为对照组。比较两组凝血功能指标[血小板(PLT)、纤维蛋白原(FIB)、D-二聚体(D-D)]水平,并分析凝血功能指标表达水平与EC患者病理特征、预后的关系。结果 与对照组比较,EC组凝血功能指标均更高(P<0。05)。PLT高表达与EC患者年龄、绝经、高血压史、高血脂症史、糖尿病史、冠心病史、病理分级、临床分期、淋巴结转移均无关(P>0。05)。FIB高表达与EC患者病理分级、临床分期、淋巴结转移有关(P<0。05)。D-D高表达与EC患者病理分级、临床分期、淋巴结转移有关(P<0。05)。FIB和D-D高表达EC患者2年生存率均低于低表达患者(P<0。05)。结论 EC患者凝血功能指标均会升高,其表达水平与病理特征、预后密切相关。
Changes of coagulation function indexes and their relationship with pathological characteristics and prognosis in patients with endometrial carcinoma
Objective To investigate the changes of coagulation function indexes and their relationship with pathological characteristics and prognosis in patients with endometrial carcinoma(EC).Methods Sixty-four EC patients admitted to Zhengzhou University Affiliated People's Hospital from April 2020 to April 2021 were selected as the EC group,another 64 patients with benign endometrial lesions in Zhengzhou University Affiliated People's Hospital during the same period were selected as the control group.The coagulation function indicators[platelets(PLT),fibrinogen(FIB),and D-dimer(D-D)]between the two groups were compared,and the relationship between the expression levels of coagulation function indicators and the pathological characteristics and prognosis of EC patients were analyzed.Results Compared with the control group,the coagulation function indicators in the EC group were higher(P<0.05).The overexpression of PLT was not related to the age,menopause,hypertension,hyperlipidemia,diabetes,coronary heart disease,pathological grade,clinical stage and lymph node metastasis of EC patients(P>0.05).High expression of FIB is correlated with pathological grading,clinical staging,and lymph node metastasis in EC patients(P<0.05).High expression of D-D is correlated with pathological grading,clinical staging,and lymph node metastasis in EC patients(P<0.05).The 2-year survival rates of EC patients with high FIB and D-D expression were lower than those of EC patients with low expression of FIB and D-D(P<0.05).Conclusions The coagulation function indexes are increased in EC patients,which are closely correlated with pathological characteristics and prognosis.

Endometrial carcinomaCoagulation functionPlateletFibrinogenD-dimerPathological characteristicPrognosis

李文娟、郭锐、李刚

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河南省人民医院 郑州大学人民医院检验科 450003

子宫内膜癌 凝血功能 血小板 纤维蛋白原 D-二聚体 病理特征 预后

2024

临床医学
中华医学会河南分会

临床医学

影响因子:0.906
ISSN:1003-3548
年,卷(期):2024.44(7)