首页|microRNA25、CA199联合CT在胰腺癌诊断及预后中的价值分析

microRNA25、CA199联合CT在胰腺癌诊断及预后中的价值分析

Value analysis of microRNA25 and CA199 combined with CT in diagnosis and prognosis of pancreatic cancer

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目的 分析沉默微小RNA-25(microRNA25)、糖类抗原199(Carbohydrate antigen199,CA199)联合电子计算机断层扫描(Computer Tomography,CT)在胰腺癌诊断及预后中的价值.方法 选取2019年6月至2022年6月中国中医科学院广安门医院收治的215例疑似胰腺癌患者为研究对象,对患者进行CT检查,确诊为胰腺癌的110例患者为观察组,剩余105例非胰腺癌者为对照组.结果 与对照组相比,观察组CT参数血流量(blood flow,BF)、血流血容量(Blood bleeding volume,BV)、血流容积(Blood flow volume,PBV)下降,达峰时间(time to peak,TTP)上升,差异具有统计学意义(P<0.05);与胰腺癌Ⅰ级患者相比,Ⅱ级、Ⅲ级患者CT参数BF、BV、PBV下降,TTP上升,差异具有统计学意义(P<0.05);与Ⅱ级患者相比,Ⅲ级患者CT参数BF、BV、PBV下降,TTP上升,差异具有统计学意义(P<0.05);与对照组相比,观察组microRNA25、CA199表达上升,差异具有统计学意义(P<0.05);与胰腺癌Ⅰ级患者相比,Ⅱ级、Ⅲ级患者microRNA25、CA199表达水平上升,且Ⅲ级患者microRNA25、CA199表达水平最高(P<0.05);与预后良好患者相比,预后不良患者microRNA25、CA199水平上升、TTP升高,BF、BV、PBV下降(P<0.05).结论 CT参数在胰腺癌的诊断中具有较强的参考价值,且和microRNA25、CA199有着一定的相关性,可用于对不同分期的胰腺癌患者进行对应性治疗.
Objective To analyze the value of silenced microRNA25(rorna25)and Carbohydrate antigen199(CA199)combined with Computer Tomography(CT)in the diagnosis and prognosis of pancreatic cancer.Methods A total of 215 suspected pancreatic cancer patients admitted to Guang'anmen Hospital,China Academy of Chinese Medi-cal Sciences from June 2019 to June 2022 were selected as the study objects.CT examination was performed on the pa-tients.110 patients diagnosed with pancreatic cancer were included in the observation group,and the remaining 105 non-pancreatic cancer patients were included in the control group.Results Compared with the control group,CT parameters blood flow(BF),Blood bleeding volume(BV)and Blood flow volume(PBV)in observation group decreased,while time to peak(TTP)increased.The difference was statistically significant(P<0.05).Compared with grade Ⅰ patients,CT pa-rameters BF,BV and PBV decreased and TTP increased in grade Ⅱ and Ⅲ patients,the difference was statistically sig-nificant(P<0.05).Compared with grade Ⅱ patients,CT parameters BF,BV and PBV decreased and TTP increased in grade Ⅲ patients,the difference was statistically significant(P<0.05).Compared with the control group,microRNA25 and CA199 expressions in the observation group were increased,and the differences were statistically significant(P<0.05).Compared with grade Ⅰ patients,microRNA25 and CA199 expression levels were increased in grade Ⅱ and Ⅲpatients,and the expression levels of microRNA25 and CA199 were the highest in grade Ⅲ patients(P<0.05).Com-pared with the patients with good prognosis,the levels of microRNA25 and CA199,TTP and BF,BV and PBV were in-creased in the patients with poor prognosis(P<0.05).Conclusion CT parameters have a strong reference value in the diagnosis of pancreatic cancer,and have a certain correlation with microRNA25 and CA199,which can be used for the corresponding treatment of pancreatic cancer patients with different stages.

Silencing micrornA-25Carbohydrate antigen 199Electronic computed tomographyPancreatic cancer

韩铭、谢媛

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中国中医科学院广安门医院 放射科,北京 100053

沉默微小RNA-25 糖类抗原199 电子计算机断层扫描 胰腺癌

2024

中国实验诊断学
吉林大学中日联谊医院 上海交通大学医学院附属瑞金医院

中国实验诊断学

CSTPCD
影响因子:1.273
ISSN:1007-4287
年,卷(期):2024.28(5)