首页|外周血Septin9基因甲基化在结直肠息肉复发监测中价值

外周血Septin9基因甲基化在结直肠息肉复发监测中价值

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目的 探究外周血Septin9基因甲基化(mSEPT9)在结直肠息肉复发监测中的价值.方法 选取2020年9月至2023年11月本院行结肠镜检查且病理提示为结直肠腺瘤的患者152例,根据mSEPT9结果分为阳性组及阴性组,根据是否为进展期腺瘤分为进展期组及非进展期组,回顾分析mSEPT9检测阳性的危险因素,观察息肉复发及腺瘤进展程度与血浆mSEPT9间的关系.结果 年龄≥60岁是外周血mSEPT9阳性的危险因素,差异有统计学意义(P<0.05),外周血mSEPT9阳性患者息肉复发率大于阴性患者,差异有统计学意义(P<0.05),进展期腺瘤患者外周血mSEPT9阳性率大于非进展期腺瘤患者,差异有统计学意义(P<0.05).结论 外周血mSEPT9检测可用于结直肠息肉复发的监测.
Objective Explore the value of peripheral blood Septin9 gene methylation(mSEPT9)in the recurrence of colorectal polyps.Methods A total of 152 patients who underwent colonoscopy at the Endoscopy Center of Hangzhou First People's Hospital Affiliated to West Lake University from September 2020 to November 2023 and were pathologically diagnosed with colorectal adenomas were collected.They were divided into the positive and negative groups based on mSEPT9 results,and into progressive and non progressive adenomas based on whether they were progressive adenomas.Analyzed the risk factors for mSEPT9 positivity,observed the relationship between the recurrence of polyps and mSEPT9.Results Age≥60 years old was a risk factor for mSEPT9 positivity,and the difference was statistically significant(P<0.05).Patients with mSEPT9 positivity had a higher polyp recurrence rate than those with negative,and the difference was statistically significant(P<0.05).Patients with advanced adenomas had a peripheral blood mSEPT9 positivity rate than those non-advanced adenomas,and the difference was statistically significant(P<0.05).Conclusion mSEPT9 can be used for screening for recurrence of colorectal polyps.

Methylation of Septin9 geneColorectal polypsScreening

刘方舟、方诗洁、吕慧婕、王霞、吕文

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310053 浙江中医药大学第四临床医学院

310003 西湖大学附属杭州市第一人民医院

Septin9基因甲基化 结直肠息肉 筛查

杭州市卫生科技计划一般项目

20220596

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(5)
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