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胃癌患者血清可溶性E选择素的表达及临床意义
引用本文:蔡慧云,赵菲,安萍. 胃癌患者血清可溶性E选择素的表达及临床意义[J]. 实用医学杂志, 2010, 26(4). DOI: 10.3969/j.issn.1006-5725.2010.04.028
作者姓名:蔡慧云  赵菲  安萍
作者单位:北京军区总医院全军普通外科中心,100700
摘    要:目的:研究可溶性E选择素(soluble E-selectin,sE-selectin)在胃癌患者循环血液中的表达及其意义.方法:采用酶联免疫吸附方法,对86例胃癌患者术前、术后1周以及30例健康人的血清sE-selectin水平进行检测,并分析sE-selectin表达与胃癌临床病理特征之间的关系.随访其中12例胃癌患者,比较手术前后血清sE-selectin水平的变化.结果:胃癌患者术前血清sE-selectin水平(51.50±4.39)ng/mL与术后1周水平(54.14±4.32)ng/mL无显著差异(P>0.05),均显著高于正常人群血清sE-selectin水平[(17.94±5.53)ng/mL(P<0.001)];胃癌患者术后1个月sE-selectin水平(28.70±5.82)ng/mL与术后2个月水平(22.27±5.43)ng/mL无显著差异(P>0.05),均显著低于术前(P<0.005),而与正常人群水平无明显差异(P>0.05).胃癌患者血清sE-selectin浓度与性别、年龄、幽门螺杆菌感染状态、肿瘤部位、组织学类型及分化程度无关(P>0.05),而与肿瘤侵犯胃壁深度、区域淋巴结状态、远处转移情况以及TNM分期密切相关(p<0.05).结论:sE-selectin可能参与胃癌的演进侵袭过程,是反映胃癌病理进展及转移情况的重要指标.

关 键 词:胃肿瘤  E选择素  肿瘤标志物  生物学

Study on expression of circulating soluble E-selectin and its clinical implication in gastric carcinoma
CAI Hui-yun,ZHAO Fei,AN Ping. Study on expression of circulating soluble E-selectin and its clinical implication in gastric carcinoma[J]. The Journal of Practical Medicine, 2010, 26(4). DOI: 10.3969/j.issn.1006-5725.2010.04.028
Authors:CAI Hui-yun  ZHAO Fei  AN Ping
Affiliation:CAI Hui-yun,ZHAO Fei,AN Ping. Center of General Surgery of PLA,General Hospital of Beijing Comm,,Beijing 100700,China
Abstract:Objective To explore the significance of serum expression of soluble E-selectin (sE-selectin) in diagnosis and treatment of gastric cancer. Methods The serum level of sE-selectin was measured by ELISA in 86 gastric cancer patients and 30 healthy subjects as control,and the association of sE-selectin expression and clinical pathological characteristics of gastric cancer was analyzed; then the changes in serum sE-selectin level of gastric cancer patients were analyzed preoperatively and postoperatively. Resul...
Keywords:Gastric neoplasm  E-selectin  Tumor markers  biological  
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