首页|白细胞介素-10及全身免疫炎症指数在预测非肌层浸润性膀胱癌术后复发中的价值

白细胞介素-10及全身免疫炎症指数在预测非肌层浸润性膀胱癌术后复发中的价值

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目的 探讨白细胞介素-10(IL-10)及全身免疫炎症指数(SII)在预测非肌层浸润性膀胱癌(NMIBC)患者行经尿道膀胱肿瘤电切术(TURBt)术后复发中的价值。方法 回顾性分析2019年1月至2021年12月在徐州医科大学附属宿迁医院泌尿外科行TURBt的147例NMIBC患者的临床资料。分析IL-10、SII单独及联合预测NMIBC患者术后复发的受试者工作特征(ROC)曲线;分析IL-10 及SII与NMIBC患者临床病理特征的关系;比较NMIBC患者IL-10、SII无复发生存曲线;分析NMIBC患者术后复发的影响因素。结果 147 例患者随访时间为11~51个月,平均(35。60±7。80)个月,其中61例患者复发,复发率为41。50%(61/147)。IL-10、SII单独及联合预测NMIBC患者术后复发的ROC曲线的曲线下面积(AUC)分别为 0。776、0。789、0。857。多因素Cox回归分析结果显示,肿瘤分期、肿瘤分级、IL-10及SII是NMIBC患者术后复发的独立危险因素(P<0。05)。结论 IL-10及SII是NMIBC患者术后复发的独立危险因素,可考虑作为临床上预测NMIBC患者术后复发的潜在指标。
Value of interleukin-10 and systemic immune-inflammation index in predicting postoperative recurrence of non-muscle-invasive bladder cancer
Objective To investigate the value of interleukin-10(IL-10)and systemic immune-inflammation index(SII)in predicting recurrence after transurethral resection of bladder tumor(TURBt)in patients with non-muscle-invasive bladder cancer(NMIBC).Methods The clinical data of 147 patients with NMIBC undergoing TURBt in the urinary surgery department of the Affiliated Suqian Hospital of Xuzhou Medical University from January 2019 to December 2021 were retrospectively analyzed.The receiver operating characteristic(ROC)curves of IL-10,SII alone and combination in predicting postoperative recurrence of NMIBC patients were analyzed;the relationship between IL-10 and SII and clinicopathological features of NMIBC patients were analyzed;the recurrence-free survival curve of IL-10 and SII in NMIBC patients were compared;the influencing factors of postoperative recurrence in patients with NMIBC were analyzed.Results The follow-up time of 147 patients was 11-51 months,with an average of(35.60±7.80)months,of which 61 patients had recurrence,and the recurrence rate was 41.50%(61/147).The area under curve(AUC)of ROC curve of IL-10,SII alone and combination in predicting postoperative recurrence of NMIBC patients was 0.776,0.789 and 0.857,respectively.Multivariate Cox regression analysis results showed that tumor stage,tumor grade,IL-10 and SII were independent risk factors for postoperative recurrence of NMIBC patients(P<0.05).Conclusion IL-10 and SII are independent risk factors for postoperative recurrence in NMIBC patients,and can be considered as potential indicators for predicting postoperative recurrence in NMIBC patients in clinic.

non-muscle-invasive bladder cancertransurethral resection of bladder tumorinterleukin-10systemic immune-inflammation indexrecurrence

张建军、王祥宇、蔡龙俊、施龙

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徐州医科大学附属宿迁医院/南京鼓楼医院集团宿迁医院泌尿外科,江苏 宿迁,223800

非肌层浸润性膀胱癌 经尿道膀胱肿瘤电切术 白细胞介素-10 全身免疫炎症指数 复发

2022年度"宿迁英才"群英计划青年项目

宿人才[2022]7号

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(21)