肝癌患者血清AHSG,NF-κB表达水平与肝动脉化疗栓塞术预后的相关性研究

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目的 分析肝癌患者血清胎球蛋白A(fetuin A,AHSG)、核因子-κB(nuclear factor-κB,NF-κB)水平与经导管动脉化疗栓塞(transcatheter arterial chemoembolization,TACE)术后预后的关系.方法 选取2014年5月~2016年4月在邯郸市中心医院普外科就诊并行TACE的85例肝癌患者为肝癌组,同期选取85例医院体检结果正常者为对照组.酶联免疫吸附试验法(enzyme linked immunosorbent assay,ELISA)检测肝癌组患者行TACE治疗前与对照组体检当日血清AHSG和NF-κB水平;对肝癌患者TACE术后进行为期5年的随访,记录患者生存情况;分析肝癌患者血清AHSG和NF-κB水平的相关性以及二者与临床病理特征的关系;Kaplan-Meier法分析肝癌患者血清AHSG和NF-κB水平与TACE术后预后的关系;COX回归分析影响肝癌患者TACE术后预后不良的危险因素.结果 与对照组比较,肝癌组患者血清AHSG(14.57±3.69 ng/ml vs 5.29±1.34 ng/ml)和NF-κB(5.42±1.46 ng/ml vs 1.28±0.53 ng/ml)水平显著升高,差异均有统计学意义(t=21.794,24.574,均P=0.000);肝癌患者血清AHSG与NF-κB水平呈正相关(r=0.495,P=0.000);肝癌患者血清AHSG和NF-κB水平与AST水平、Child-Pugh分级、TNM分期有关(χ2=7.051~17.285,均P<0.05);AHSG高表达组患者5年累积生存率低于AHSG低表达组[17.78%(8/45)vs 40.00%(16/40)],NF-κB高表达组5年累积生存率低于NF-κB低表达组[19.15%(9/47)vs 39.47%(15/38)],差异均有统计学意义(χ2=5.161,P=0.023;χ2=4.284,P=0.038);TNM分期高及血清AHSG和NF-κB高表达是影响肝癌患者TACE术后预后不良的危险因素(P=0.002,0.001,0.000).结论 肝癌患者血清AHSG和NF-κB水平均呈高表达,二者与肝癌患者TACE术后预后密切相关,可作为预测TACE术后预后的潜在生物标志物.
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