首页|血清AFP、Ferr对肝癌患者肝动脉化疗栓塞术疗效的预测价值

血清AFP、Ferr对肝癌患者肝动脉化疗栓塞术疗效的预测价值

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目的:分析血清甲胎蛋白(Alpha fetoprotein,AFP)、铁蛋白(Ferritin,Ferr)与肝癌患者肝动脉化疗栓塞术(Transcatheter arterial chemoembolization,TACE)疗效的关系,并评估其对患者疗效的预测价值.方法:选择 2021年 1 月-2023 年 4 月期间于本院实施TACE治疗的 86 例肝癌患者作为研究对象.检测患者术前的血清AFP、Ferr水平.统计患者术后 6 m的治疗效果,并根据治疗效果将患者分为无效组与有效组.分析肝癌患者术前血清AFP、Ferr与TACE疗效的关系.绘制受试者工作特征(Receiver operating characteristic curve,ROC)曲线,评估其预测价值.结果:TACE治疗后 6 m,无效 40 例,有效46 例.无效组的血清AFP、Ferr均明显高于有效组(P<0.05).点二列相关性分析显示,血清AFP、Ferr与肝癌患者TACE的疗效呈正相关(r>0,P<0.05).血清AFP、Ferr单独预测肝癌患者TACE疗效的AUC均>0.7,联合预测的AUC>0.8.结论:血清AFP、Ferr与肝癌患者TACE疗效密切相关,且术前血清AFP、Ferr水平越高,肝癌患者TACE治疗无效的可能性越大.
Predictive value of serum AFP and Ferr for the efficacy of hepatic transcatheter arterial chemoembolization in patients with liver cancer
Objective:To analyze the relationship between serum alpha-fetoprotein(AFP)and ferritin(Ferr)and the curative effect of hepatic transcatheter arterial chemoembolization(TACE)in patients with liver cancer,and to evaluate its predictive value for the curative effect.Methods:86 patients with liver cancer who received TACE treatment in our hospital from January 2021 to April 2023 were selected as the study objects.Serum AFP and Ferr levels were detected before operation.The therapeutic effect 6 months after the operation was analyzed,and the patients were divided into ineffective group and effective group according to the therapeutic effect.The relationship between serum AFP,Ferr and TACE efficacy in patients with liver cancer were analyzed.The receiver operating characteristic(ROC)curve was plotted to evaluate its predictive value.Results:After 6 months of TACE treatment.There were 40 ineffective cases and 46 effective cases.The serum AFP and Ferr in the ineffective group were significantly higher than those in the effective group(P<0.05).Point two-column correlation analysis showed that serum AFP and Ferr were positively correlated with TACE efficacy in patients with liver cancer(r>0,P<0.05).The AUC of serum AFP and Ferr independently predicted the TACE efficacy of liver cancer patients was>0.7,and the AUC of combined prediction was>0.8.Conclusion:Serum AFP and Ferr are closely related to the efficacy of TACE in patients with liver cancer,and the higher level of serum AFP and Ferr before surgery,the greater possibility of ineffective TACE treatment in patients with liver cancer.

Liver cancerHepatic arterial chemoembolizationAlpha-fetoproteinFerritinPredictive value

宗珂璠、柴改会、尚钊源

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许昌市中心医院核医学科,河南 许昌 461000

肝癌 肝动脉化疗栓塞术 甲胎蛋白 铁蛋白 预测价值

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(12)