腹腔冲洗细胞学检查对胃癌预后的临床评估及意义
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安杰

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Clinical assessment and significance of peritoneal lavage cytology on prognosis of gastric carcinoma
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    摘要:

    目的:评估腹腔冲洗细胞学检查(PLC)对胃癌预后判断的价值。
    方法:收集胃癌及对照组患者的腹腔冲洗液标本,采用不同方法检测其中的游离癌细胞,并评价其与临床病理参数的关系。
    结果:PLC检测阳性率为31.8%,经相关分析,胃癌患者PLC阳性率与下列4种参数均成正相关:肿瘤分化程度(P<0.05),浸润深度(P<0.01),淋巴结转移(P<0.01),TNM分期(P<0.05)。而与肿瘤的大小无关;肿瘤大小分组间差异无统计学意义(P>0.05)。检测阳性组与阴性组术后1年复发率和生存率比较,差异均有统计学意义。
    结论:PLC检测可作为判断胃癌侵袭转移、术后复发情况及患者预后的参考指标之一。

    Abstract:

    Objective: To evaluate the clinical value between peritoneal lavage cytology (PLC) and prognosis of gastric cancer.
    Methods: The peritoneal lavage fluid of 60 gastric cancer patients and 12 noncancer patients were collected, different methods were used to examine the exfoliated cancer cells, and relationships between positive results and relative clinicopathological parameters were evaluated.
    Results: The positive rate of PLC was 31.8%, and was positively correlated with the degree of histologic differentiation of gastric cancer (P<0.05), depth of invasion (P<0.01), stage of TNM (P<0.05), and lymph node metastasis (P<0.05),but was not related to size of tumor (P>0.05). The postoperative oneyear recurrence and survival rates of the positive and negative groups were significantly different(P<0.05 and P<0.01).
    Conclusions: PLC could act as a standard for judging the invasive and metastatic state of cases of gastric cancer and predicting prognosis.

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安杰, 刘伟, 刘艳丽, 张文, 李慧.腹腔冲洗细胞学检查对胃癌预后的临床评估及意义[J].中国普通外科杂志,2009,18(10):4-.
DOI:10.7659/j. issn.1005-6947.2009.10.004

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  • 收稿日期:2009-03-09
  • 最后修改日期:2009-09-24
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  • 在线发布日期: 2009-10-15