文章摘要
张桂欣,彭丽君,陶可涛,冯 波,袁德玺,孙显飞.血清microRNA-335对根治术并碘131治疗的分化型甲状腺癌预后判断的临床价值分析[J].,2019,19(17):3338-3341
血清microRNA-335对根治术并碘131治疗的分化型甲状腺癌预后判断的临床价值分析
The Clinical Value of Serum MicroRNA-335 for the Prognostic prediction of the Differentiated Thyroid Cancer Patient after Total Thyroidectomy Combined with 131I Thyroid Remnant Ablation
投稿时间:2019-01-31  修订日期:2019-02-27
DOI:10.13241/j.cnki.pmb.2019.17.029
中文关键词: 分化型甲状腺癌  碘131清甲治疗  microRNA-335  预后
英文关键词: Differentiated thyroid cancer  131I thyroid remnant ablation  MicroRNA-335  Prognosis
基金项目:山东省自然科学基金项目(ZR2014HQ061)
作者单位E-mail
张桂欣 青岛阜外心血管病医院外科 山东 青岛 266034 mengxianjiehb000@163.com 
彭丽君 青岛阜外心血管病医院超声科 山东 青岛 266034  
陶可涛 青岛阜外心血管病医院外科 山东 青岛 266034  
冯 波 青岛阜外心血管病医院外科 山东 青岛 266034  
袁德玺 青岛阜外心血管病医院外科 山东 青岛 266034  
孙显飞 青岛大学附属医院肿瘤科 山东 青岛 266000  
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中文摘要:
      摘要 目的:探讨血清microRNA-335对根治术并碘131清甲治疗的分化型甲状腺癌预后判断的临床价值。方法:采用实时荧光定量PCR技术检测100例经甲状腺癌根治术(甲状腺癌全切+肿瘤同侧中央组淋巴结清扫术)并碘131清甲治疗后的分化型甲状腺癌患者血清中microRNA-335的相对表达量,并用Pearson相关性分析法来分析其与患者术后复发时间的相关性。结果:100例分化型甲状腺癌患者经根治术并碘131清甲治疗后2周后血清microRNA-335水平较治疗前明显降低(P<0.0001)。15例复发的患血清microRNA-335水平较未复发患者显著升高(P<0.05),且与其复发时间呈显著正相关(P<0.0001)。结论:分化型甲状腺癌患者经甲状腺癌根治术并碘131清甲治疗后血清microRNA-335水平升高可能有助于预测其复发。
英文摘要:
      ABSTRACT Objective: To explore the clinical value of serum microRNA-335 in predicting the prognosis of differentiated thyroid cancer treated with radical thyroidectomy and iodine 131 nail clearance. Methods: The relative expression level of serum microRNA-335 of 100 differentiated thyroid cancer patients were detected 2 weeks after accepting radical thyroidectomy (total thyroidectomy + ipsilateral central lymphadenectomy) combined with 131I thyroid remnant ablation by RT-qPCR. The correlation between the relative expression level of microRNA-335 and the Pearson correlation analysis was used to analyze the correlation between recurrence time and recurrence time. Results: The Serum microRNA-335 levels in 100 patients with differentiated thyroid cancer after radical thyroidectomy and iodine 131 nail clearance 2 weeks after treatment were significantly lower than those before treatment(P<0.0001), Serum microRNA-335 levels in 15 relapsed patients were significantly higher than those in non-relapsed patients(P<0.05), and There was a significant positive correlation between recurrence time and recurrence time(P<0.0001). Conclusion: Increased serum microRNA-335 levels in patients with differentiated thyroid cancer after radical thyroidectomy and iodine 131 thyroidectomy may be helpful in predicting recurrence.
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