膀胱部分切除术对局限性肌层浸润性膀胱癌患者血清VEGF、MCP-1的影响
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广东省医学科研基金项目(A2017470)


Effects of partial cystectomy on serum VEGF and MCP-1 in patients with muscular invasive bladder cancer
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    摘要:

    【摘要】 目的 研究膀胱部分切除术(PC)对局限性肌层浸润性膀胱癌(MIBC)患者血清VEGF.MCP-1的影响。 方法 选取2011年10月〜2013年6月入住我院的MIBC患者92例,依照随机数字表法分为PC组与RC组各46例。 PC组行PC治疗,RC组行根治性膀胱切除(RC)治疗。观察两组术中出血量、手术时间及住院时间等手术相关指标,术 前、术后7d血清VEGF.MCP-1肿瘤因子水平,超氧化物歧化酶(SOD)、丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH- PX)、晚期氧化蛋白产物(AOPP)等氧化应激因子水平,术后并发症,术后复发及生存情况。结果PC组术中出血量、手术时间及住院时间等小于RC组(P<0.05)。术后7d,两组血清VEGF.MCP-1水平均无差异(P>0. 05)o术后7d,PC 组MDA.AOPP水平低于对照组,GSH-PX、SOD、水平高于RC组(P<0.05)。PC组术后并发症发病率(6. 51 %)低于 RC组(26. 09%)(P<0. 05)。两组术后复发率及1、3、5年生存率均无差异(P>0. 05);结论 PC治疗MIBC可有效切 除病灶,抑制VEGF、MCP-1表达,可获得与RC-致的疗效,且创伤小,对机体影响少,术后并发症及复发率低。

    Abstract:

    【Abstract】 Objective To study the effect of partial cystectomy (PC) on serum VEGF and MCP-1 in patients with muscular invasive bladder cancer (MIBC). Methods 92 patients with MIBC admitted to our hospital from October 2011 to June 2013 were selected and divided into PC group (?z=46) and RC group 3=46) according to the random number table method. PC group was treated with PC and RC group with Radical cystectomy (RC). Intraoperative blood loss, operation time and hospitalization time were observed in two groups. Serum levels of VEGF, MCP-1 tumor factors, superoxide dismutase (SOD), malondialdehyde (MDA), glutathione peroxidase (GSH-PX), advanced oxidative protein product (AOPP) and other oxidative stress factors before and 7 days after surgery were detected. Postoperative complications, postoperative recurrence and survival were observed. Results The amount of intraoperative blood loss, operation time and hospital stay in PC group were less than those in RC group (P<0. 05). Seven days after surgery, there was no difference in serum VEGF and MCP-1 levels between the two groups (P>0. 05). Seven days after surgery, MDA and AOPP levels in the PC group were lower than those in the control group, and GSH-PX, SOD and SOD levels were higher than those in the RC group (P<0. 05). The incidence of postoperative complications in PC group (6. 51%) was lower than that in RC group (26.09%) (P<0.05). There was no difference in postoperative recurrence rate and 1, 3 and 5-year survival rate between the two groups (P>0. 05). Conclusion PC can effectively remove the lesion and inhibit the expression of VEGF,MCP-1 in the treatment of MIBC, which can obtain the same curative effect as RC, with less trauma, less influence on the body, and low postoperative complications and recurrence rate.

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  • 在线发布日期: 2020-02-13
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