首页|血清miRNA-107、miR-18a-5p对胃癌和癌前病变的鉴别诊断价值

血清miRNA-107、miR-18a-5p对胃癌和癌前病变的鉴别诊断价值

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目的:探究在胃癌和癌前病变中血清miRNA-107、miR-18a-5p的鉴别诊断价值.方法:选取2020年6月至2023 年 6 月我院收治的 60 例胃癌患者作为胃癌组,50 例癌前病变患者作为癌前病变组,另选取在我院进行体检的健康人群 30 例作为健康对照组.比较三组受检者血清miRNA-107、miR-18a-5p水平,探讨其表达水平在临床诊断价值.结果:三组受检者性别、年龄无统计学差异(P>0.05);与健康对照组相比,胃癌组与癌前病变组血清miRNA-107、miR-18a-5p指标较高(P<0.05);与癌前病变组相比,胃癌组血清miRNA-107、miR-18a-5p指标较高(P<0.05).本次研究中以病理结果为"金标准"发现,本次研究中联合miRNA-107与miR-18a-5p阳性例数高于单独血清检测阳性例数,统计学有差异性(P<0.05).与血清miRNA-107、miR-18a-5p相比,二项联合灵敏度、特异度和准确度均较高,统计学有差异性(P<0.05).结论:血清miRNA-107、miR-18a-5p在胃癌和癌前病变患者均存在高表达,说明其在胃癌和癌前病变中具有较高的鉴别诊断价值.
Value of serum miRNA-107 and miR-18a-5p in differential diagnosis of gastric cancer and precancerous lesions
Objective:To investigate the differential diagnosis value of serum miRNA-107 and miR-18a-5p in gastric cancer and precancerous lesions.Methods:60 patients with gastric cancer admitted to our hospital from June 2020 to June 2023 were selected as the gastric cancer group,50 patients with precancerous lesions were selected as the precancerous lesion group,and 30 healthy people who underwent physical examination in our hospital were selected as the healthy control group.The levels of serum miRNA-107 and miR-18a-5p in three groups were compared to explore the value of their expression levels in clinical diagnosis.Results:There were no significant differences in gender and age among the three groups(P>0.05).Compared with healthy control group,serum miRNA-107 and miR-18a-5p indexes in precancerous lesion group and cancer group were higher(P<0.05).Serum miRNA-107 and miR-18a-5p indexes in gastric cancer group were higher than those in precancerous lesion group(P<0.05).In this study,with pathological results as the"gold standard",it was found that the number of positive cases of combined miRNA-107 and miR-18a-5p in this study was higher than the number of positive cases of single serum detection,with statistical difference(P<0.05).Compared with serum miRNA-107 and miR-18a-5p,the binomial combination had higher sensitivity,specificity and accuracy,with statistical differences(P<0.05).Conclusion:Serum miRNA-107 and miR-18a-5p are highly expressed in patients with gastric cancer and precancerous lesions,indicating that they have high value in the differential diagnosis of gastric cancer and precancerous lesions.

MicroRNA-107MicroRNA-18a-5pGastric cancerPrecancerous lesion

王丽、田密昌

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西华县人民医院消化内科,河南 西华 466600

miRNA-107 miRNA-18a-5p 胃癌 癌前病变

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(8)
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