目的:通过检测并分析胃癌患者血清Periostin、E-cadherine水平与胃癌临床病理参数的关系以评价两者对胃癌的临床应用价值。方法:应用固相夹心酶联免疫吸附实验(Elisa)检测54例胃良性疾病患者对照组和128例胃癌患者(胃癌组)血清Periostin、E-cadherine水平。结果:胃癌组血清Periostin[(409.429±154.851)pg/ml]、E-cadherine[(38.834±11.676)ng/ml]水平均显著高于对照组,差异有显著统计学意义(P〈0.05)。胃癌根除组,有淋巴结转移组血清E-cadherine水平显著高于无淋巴结转移组,差异有统计学意义(P〈0.05);血清Periostin水平随淋巴结转移个数的增多而升高,多重比较不同淋巴结转移个数分组差异有统计学意义(P〈0.05);血清Periostin、E-cadherine水平随着胃癌浸润程度加深而升高,多重比较差异有统计学意义(P〈0.05)。胃癌组,有远处器官转移组患者血清Periostin水平[(505.617±163.950)pg/ml]、E-cadherine[(48.705±8.067)ng/ml]均明显高于无远处转移组,差别有显著统计学意义(P〈0.05)。胃癌组血清Periostin水平和血清E-cadherine水平呈低度正相关性。结论:血清Periostin、E-cadherine水平与胃癌的临床病理参数密切关系,对评价胃癌进展程度及预后有一定临床意义。
Objective: To evaluate the serum levels of periostin's and e-cadherine's clinical values in gastric carcinoma by detecting and analyzing the relationships between their serum levels and the clinical pathological features of gastric carcinoma.Methods: Using solid phase sandwich enzyme linked immunosorbent assay(Elisa)to detect 54 benign gastric diseases subjects'(control group) and 128 gastric carcinogenesis'(gastric carcinoma group)serum levels of periostin,e-cadherine.Results: The serum levels of periostin,e-cadherine in gastric carcinogenesis[(409.429±154.851) pg/ml,(38.834±11.676) ng/ml] were significantly higher than control group,they all had statistical significance P 0.05.In the subtotal gastrectomy subjects' group,the serum levels of e-cadherine with lymph nodes metastasis were significantly higher than with no lymph nodes metastasis',they both had statistical significance P 0.05;having more lymph nodes metastasis had a higher serum levels of periostin,multiple comparison had statistical significance P 0.05;the higher serum levels of periostin,e-cadherine had the deeper of invasion,multiple comparison had statistical significance P 0.05.In gastric carcinoma group,having distant organs metastases subjects' of serum levels of periostin [(505.617±163.950) pg/ml],e-cadherine[(48.705±8.067) ng/ml] were significantly higher than not having,they all had statistical significance P 0.05.In gastric carcinoma group,the serum levels of periostin,e-cadherine had a low correlation.Conclusions: The serum levels of periostin,e-cadherine had some clinical significance in evaluating the advances of gastric carcinoma.