国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2013年
7期
454-456,封3
,共4页
结直肠癌%D-二聚体%淋巴结转移
結直腸癌%D-二聚體%淋巴結轉移
결직장암%D-이취체%림파결전이
Colorectal cancer%D-dimer%The lymph-node metastasis
目的 研究结直肠癌患者术前D-二聚体水平与淋巴结转移之间的关系.方法 全组106例患者均行标准结直肠癌根治性切除术,记录患者术前D-二聚体水平,及肿瘤大小、浸润深度、切除淋巴结数目、转移数目等病理学资料.结果 N分期晚的患者血浆D-二聚体水平明显升高；结直肠癌患者术前D-二聚体水平与淋巴结转移数之间的相关性有统计学意义；D-二聚体临界水平为0.4μg/mL时,可预测淋巴结转移与否.结论 术前D-二聚体水平的测定,对判断结直肠癌淋巴结转移状况有一定的意义.
目的 研究結直腸癌患者術前D-二聚體水平與淋巴結轉移之間的關繫.方法 全組106例患者均行標準結直腸癌根治性切除術,記錄患者術前D-二聚體水平,及腫瘤大小、浸潤深度、切除淋巴結數目、轉移數目等病理學資料.結果 N分期晚的患者血漿D-二聚體水平明顯升高；結直腸癌患者術前D-二聚體水平與淋巴結轉移數之間的相關性有統計學意義；D-二聚體臨界水平為0.4μg/mL時,可預測淋巴結轉移與否.結論 術前D-二聚體水平的測定,對判斷結直腸癌淋巴結轉移狀況有一定的意義.
목적 연구결직장암환자술전D-이취체수평여림파결전이지간적관계.방법 전조106례환자균행표준결직장암근치성절제술,기록환자술전D-이취체수평,급종류대소、침윤심도、절제림파결수목、전이수목등병이학자료.결과 N분기만적환자혈장D-이취체수평명현승고；결직장암환자술전D-이취체수평여림파결전이수지간적상관성유통계학의의；D-이취체림계수평위0.4μg/mL시,가예측림파결전이여부.결론 술전D-이취체수평적측정,대판단결직장암림파결전이상황유일정적의의.
Objective To determine the relationship between preoperative plasma D-dimer level and the lymphnode metastasis characteristics in colorectal cancer patients.Methods A total of 106 patients with colorectal cancer were studied in order to evaluate this relationship.Their preoperative plasma D-dimer levels were measured.Results were correlated with the clinicopathological findings.Results Significantly different plasma D-dimer levels were found with respect to histologic N(P ＜ 0.001).The number of lymph node metastases was found to have the strongest association with D-dimer level among the significant clinicopathologic factors (Spearman rank correlation,P ＜0.001).The most useful cutoff of the plasma D-dimer levels for diagnosis of lymph node metastasis was determined to be 0.4 μg/mL.Conclusion Plasma D-dimer levels can help assess lymph node metastasis in patients with eophageal cancer and should be measured preoperatively.
