首页|术前血清HDL-C、IGF-1水平对前列腺癌根治术患者预后的预测价值研究

术前血清HDL-C、IGF-1水平对前列腺癌根治术患者预后的预测价值研究

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目的 探讨术前血清高密度脂蛋白胆固醇(HDL-C)、胰岛素样生长因子-1(IGF-1)对前列腺癌根治术患者预后的预测价值.方法 回顾性选取2017 年 8 月至2021 年 10 月安徽医科大学附属阜阳医院治疗的90 例前列腺癌患者的临床资料,分析患者术前血清HDL-C、IGF-1 水平.术后对患者随访1 年,评估患者预后情况,分析术前血清 HDL-C、IGF-1 水平对前列腺癌根治术患者预后的预测价值.结果 90 例前列腺癌根治术患者中预后不良20 例,占比为22.22%.不同预后患者血清IGF-1、HDL-C、总胆固醇、空腹血糖水平比较,差异具有统计学意义(P<0.05).经Logistic回归分析显示,血清HDL-C、IGF-1 是前列腺癌根治术患者预后的影响因素(P<0.05);受试者工作特征(ROC)曲线显示,血清HDL-C、IGF-1 单独及联合对前列腺癌根治术患者预后均有一定的预测价值,且联合预测价值更高.结论 血清HDL-C、IGF-1 可对前列腺癌根治术患者预后产生影响,且术前血清HDL-C与IGF-1 联合检测对前列腺癌根治术患者预后具有较高的预测价值.
The predictive value study of preoperative serum high density lipoprotein cholesterol and insulin-like growth factor-1 levels on the prognosis of patients undergoing radical prostatectomy
Objective To explore the predictive value of preoperative serum high density lipoprotein cholesterol(HDL-C)and insulin-like growth factor-1(IGF-1)on the prognosis of patients undergoing radical prostatectomy.Methods The clinical data of 90 patients with prostate cancer treated in Fuyang Hospital of Anhui Medical University from August2017 to October2021 were retrospectively analyzed,and the preoperative serum levels of HDL-C and IGF-1 were analyzed.The patients were followed up for one year after operation and prognosis condition were evaluated.The predictive value of preoperative serum HDL-C and IGF-1 levels on the prognosis of patients undergoing radical prostatectomy were analyzed.Results Of the 90 patients with radical prostatectomy,20 patients had poor prognosis,accounting for 22.22%.There were significant differences in serum IGF-1,HDL-C,total cholesterol,and fasting blood glucose levels in patients with different prognosis(P<0.05).Logistic regression analysis showed that serum HDL-C and IGF-1 were prognostic factors in patients undergoing radical prostatectomy(P<0.05).The receiver operating characteristic(ROC)curve showed that serum HDL-C and IGF-1 alone and in combination had certain predictive value for the prognosis of patients undergoing radical prostatectomy,and the combined predictive value was higher.Conclusions Serum HDL-C and IGF-1 can affect the prognosis of patients with radical prostatectomy,and the combined detection of serum HDL-C and IGF-1 before operation has high predictive value for the prognosis of patients with radical prostatectomy.

Radical prostatectomyHigh density lipoprotein cholesterolInsulin-like growth factor-1Prognosis

李亮亮、宋培星、邢德福、王彦刚、董安涛、吴亚蒙

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安徽医科大学附属阜阳医院泌尿外科,安徽 阜阳 236000

前列腺癌根治术 高密度脂蛋白胆固醇 胰岛素样生长因子-1 预后

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(2)
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