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食管癌患者手术前后血浆D-二聚体动态变化的临床意义
引用本文:黄明伟,唐志苗,王健,张德意,杜忠明,付冠华,夏银献,周志有.食管癌患者手术前后血浆D-二聚体动态变化的临床意义[J].中国基层医药,2012,19(13):1929-1930.
作者姓名:黄明伟  唐志苗  王健  张德意  杜忠明  付冠华  夏银献  周志有
作者单位:1. 金华市中心医院急诊医学科, 浙江省金华,321000
2. 金华市中心医院心胸外科, 浙江省金华,321000
3. 金华市中心医院检验医学科, 浙江省金华,321000
基金项目:浙江省金华市科学技术研究计划项目
摘    要:目的 探讨食管癌患者手术前后血浆D-二聚体动态变化与其生存率的关系.方法 对照组30例、食管癌组160例(其中手术例数112例),用金标法测定血浆D-二聚体水平.结果 血浆D-二聚体水平与食管癌患者TNM分期、淋巴结转移情况及肿瘤大小相关.与术前比较,术后2年血浆D-二聚体明显升高(t =7.35,P<0.05).结论 血浆D-二聚体手术前后的动态变化与食管癌患者近期生存率相关.

关 键 词:食管肿瘤  D-二聚体  生存率

The clinical significance of dynamic changes of serum D-dimers in esophageal carcinoma pre-and post-operation
HUANG Ming-wei , TANG Zhi-miao , WANG Jian , ZHANG De-yi , DU Zhong-ming , FU Guan-hua , XIA Yin-xian , ZHOU Zhi-you.The clinical significance of dynamic changes of serum D-dimers in esophageal carcinoma pre-and post-operation[J].Chinese Journal of Primary Medicine and Pharmacy,2012,19(13):1929-1930.
Authors:HUANG Ming-wei  TANG Zhi-miao  WANG Jian  ZHANG De-yi  DU Zhong-ming  FU Guan-hua  XIA Yin-xian  ZHOU Zhi-you
Institution:. Department of Emergency, the Central Hospital of Jinhua, Jinhua, Zhefiang 321000, China
Abstract:Objective To investigate the relationship between dynamic changes of plasma D-dimer and sur- vival rate of the esophageal carcinoma patients pre-and post-operation. Methods 30 cases of normal conirol group, 160 cases of esophageal cancer group( including operation cases n = 112) ,with the gold standard method foi the deter- mination of plasma D-dimer. Results There was a link between the level of D-dimer,TNM staging, lymph node me- tastasis and tumor size in esophageal carcinoma patients. Compared with the preoperation, the plasma D-dilner is sig- nificantly elevated 2 years later( t = 7.35,P 〉 0.05 ). Conclusion Before or after the operation, dynamic changes of plasma D-dimer had a relationship with short-term survival rate.
Keywords:Esophageal neoplasms  D-dimer  Survival rate
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