首页|血栓弹力图对乳腺癌及乳腺良性病变凝血功能的价值分析

血栓弹力图对乳腺癌及乳腺良性病变凝血功能的价值分析

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目的 分析血栓弹力图(thrombelastogram,TEG)对乳腺癌及乳腺良性病变凝血功能的临床检测价值。方法 选取2022年6月—2023年12月扬州大学医学院附属扬州妇幼保健院收治的55例乳腺癌患者(乳腺癌组)以及50例乳腺良性病变患者(良性病变组)为研究对象。测定2组常规凝血功能指标、TEG参数。结果 乳腺癌组纤维蛋白原(fibrinogen,Fib)、D-二聚体(D-dimer,D-D)、血小板(blood platelet,PLT)水平均高于良性病变组,凝血酶原时间(prothrombin time,PT)短于良性病变组,差异有统计学意义(P<0。05);2组凝血酶时间(thrombin time,TT)、部分凝血活酶时间(activated partial thromboplastin time,APTT)比较,差异无统计学意义(P>0。05)。乳腺癌组最大振幅(maximum amplitude,MA)为(65。28±7。07)mm,凝血综合指数(coagulation index,CI)为(2。93±1。32),均高于良性病变组的(62。75±5。56)mm、(2。46±1。04),血凝块形成时间(clot formation time,K值)为(1。35±0。32)min,短于良性病变组(1。47±0。24)min,差异有统计学意义(P<0。05);2组反应时间(reaction time,R值)、Angle角、弹性模量(shear elastic modulus,G值)比较,差异无统计学意义(P>0。05)。结论 在临床上,TEG较常规凝血功能更为敏感、准确,其快速凝血功能诊断能力对术中和术后的出血管理、预防深静脉血栓形成等方面具有重要价值。
Analysis of the Value of Thromboelastography in the Coagulation Function of Breast Cancer and Benign Breast Lesions
Objective To analyze the clinical detection value of thromboelastography in the coagulation function of breast cancer and benign breast lesions. Methods A total of 55 patients with breast cancer (breast cancer group) and 50 patients with benign breast diseases (benign disease group) admitted to Yangzhou Maternal and Child Health Care Hospital Affiliated to Yangzhou University from June 2022 to December 2023 were selected as research objects. Routine coagulation function indexes and TEG parameters were determined in 2 groups. Results The levels of fibrinogen (Fib),D-dimer (D-D) and blood platelet (PLT) in the breast cancer group were higher than those in the benign disease group,and the prothrombin time (PT) was shorter than that in the benign disease group,the differences were statistically significant (P<0.05). There was no significant difference in thrombin time (TT) and activated partial thromboplastin time (APTT) between the two groups (P>0.05). In breast cancer group,maximum amplitude (MA) was (65.28±7.07) mm,coagulation index (CI) was (2.93±1.32),which were higher than (62.75±5.56) mm and (2.46±1.04) in benign disease group,and the clot formation time (K value) was (1.35±0.32) min,which was shorter than (1.47±0.24) min in benign disease group,the differences were statistically significant (P<0.05). There was no statistical significance in reaction time (R value),Angle angle and shear elastic modulus (G value) between 2 groups (P>0.05). Conclusion In clinical practice,TEG is more sensitive and accurate than conventional coagulation function,and its ability to quickly diagnose coagulation function is of great value for intraoperative and postoperative bleeding management,prevention of deep vein thrombosis,and other aspects.

thromboelastogrambreast cancerbenign breast lesionscoagulation functionparametersclinical value

葛倩、张博、黄阳、唐小燕

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扬州市妇幼保健院/扬州大学医学院附属扬州妇幼保健院麻醉科,江苏扬州 225000

血栓弹力图 乳腺癌 乳腺良性病变 凝血功能 参数 临床价值

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(22)