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非手术治疗的老年非小细胞肺癌患者外周血血小板/淋巴细胞比值与D-二聚体对预后的影响
引用本文:张荣三,刘苗苗,谢剑华,孙宁宁,张利,张洪珍. 非手术治疗的老年非小细胞肺癌患者外周血血小板/淋巴细胞比值与D-二聚体对预后的影响[J]. 现代肿瘤医学, 2021, 0(20): 3573-3577. DOI: 10.3969/j.issn.1672-4992.2021.20.013
作者姓名:张荣三  刘苗苗  谢剑华  孙宁宁  张利  张洪珍
作者单位:华北理工大学附属河北省人民医院,河北 石家庄 050051
基金项目:河北省医学科学研究重点课题计划(编号:20180006)
摘    要:目的:探究70岁以上非手术治疗的老年非小细胞肺癌(non-small cell lung cancer,NSCLC)患者治疗前外周血的血小板/淋巴细胞比值(platelet-to-lymphocyte ratio,PLR)与D-二聚体(D-dimer,D-D)水平及意义,并分析其与临床病理特征及预后的相关性.方法:入组...

关 键 词:非小细胞肺癌  血小板/淋巴细胞比值  D-二聚体  老年  预后

Influence of peripheral platelet-to-lymphocyte ratio and D-dimer on prognosis in elderly patients with non-surgical non-small cell lung cancer
ZHANG Rongsan,LIU Miaomiao,XIE Jianhua,SUN Ningning,ZHANG Li,ZHANG Hongzhen. Influence of peripheral platelet-to-lymphocyte ratio and D-dimer on prognosis in elderly patients with non-surgical non-small cell lung cancer[J]. Journal of Modern Oncology, 2021, 0(20): 3573-3577. DOI: 10.3969/j.issn.1672-4992.2021.20.013
Authors:ZHANG Rongsan  LIU Miaomiao  XIE Jianhua  SUN Ningning  ZHANG Li  ZHANG Hongzhen
Affiliation:Hebei General Hospital,North China University of Science and Technology,Hebei Shijiazhuang 050051,China.
Abstract:Objective:To explore the platelet-to-lymphocyte ratio (PLR) and D-dimer levels and significance in peripheral blood of non-surgical non-small cell lung cancer (NSCLC) patients aged over 70 years before treatment,analyzing its correlation with the clinicopathological characteristics and prognosis.Methods:A total of 115 elderly patients with NSCLC were enrolled,and 50 elderly healthy patients were selected as the control group.The pre-treatment levels of lymphocytes,platelets and D-D in different groups were tested,and the differences of PLR and D-D in the elderly lung cancer group and the control group were analyzed by age,gender,pathological type,TNM staging of tumors,ECOG score,smoking index,body mass index (BMI),presence of complications and lymph node metastasis.Results:The levels of PLR and D-D in peripheral blood of elderly NSCLC patients before treatment were higher than those in the control group (P<0.001).The PLR levels were related to TNM staging,ECOG score,BMI,underlying diseases and lymph node metastasis (P<0.05).The levels of D-D were associated with TNM stage,ECOG score and lymph node metastasis (P<0.05).PLR and D-D levels were negatively correlated with overall survival (P<0.05).Conclusion:The pre-treatment PLR and D-D levels of NSCLC patients over 70 years old were associated negatively with the prognosis and survival period,suggesting that the PLR and D-D levels may be used as a prognostic indicator for non-surgical elderly NSCLC patients.
Keywords:non-small cell lung cancer(NSCLC)   platelet-to-lymphocyte ratio(PLR)   D-dimer   elderly   prognosis
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