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应用Ag-NOR计数、DNA含量检测大肠癌的预后价值

THE PROGNOSTIC VALUE OF Ag-NOR COUNTS AND IMAGE ANALYSIS TECHNOLOGY IN COLORECTAL CARCINOMA
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摘要 该文应用胶质银染技术、自动图像分析仪DNA含量测量技术对56例大肠癌手术标本进行了检测。结果发现Ag-NOR计数与患者存活时间呈负相关(r=-0.77P<0.001)。Ag-NOR计数低,患者存活时间长,预后好;反之则预后差。对数秩时序检验P<0.001。在DNA含量总体直方图中,大肠癌细胞DNA主峰位于2~6C之间,预后好组,其主峰左移至2C附近,大于5C细胞群较少(10.48±9.89),而预后差组主峰右移至5C附近,大于5C细胞所占比例明显增多(61.59±21.45)。2C细胞群为主大肠癌Ag-NOR计数(4.04±0.66)低于以非整倍体细胞群占多数大肠癌(5.92±1.49)(P<0.01)。结合运用上述指标可提高判断预后的准确性。 Ag - NOR counts and DNA content were investigated in tissue slides of 56 cases of colorectal carcinoma. There was a negative correlation between Ag - NOR counts and the patients survival time (r = - 0. 77, P< 0. 001). The differences were statistically significant using univariate chi-squares for the log rank test (x = 27. 2, P < 0.001 ). In the DNA histogram of all cases, the major peak was located from 2c to 6c. In the patients with good clinical out-comes, the major DNA peak turned left near 2c, while in the patients with poor clinical courses the major DNA peak turned right near 5c. Aneuploidy cell population in group Ⅱ (61. 59±21. 45) was significantly higher than that in group Ⅰ (10. 48±9. 89). Ag - NOR counts of the patients with predominantly diploidy cell population (4.04±0.66) were obviously lower than those of the patients with predominantly aneuploidy (5. 92±1.49, P<0.01). Com-bining the above parameters, the accuracy of the prognosis assessment will be improved.
出处 《中国现代医学杂志》 CAS CSCD 1997年第9期9-11,共3页 China Journal of Modern Medicine
关键词 DNA AG-NOR 预后 大肠肿瘤 Prognosis Colorectal carcinoma DNA content Nucleolar organizer region
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