目的:探讨卵巢癌组织内含子型微小核糖核酸-28(hsa-miR-28)表达及其与临床病理特征及根治术后复发的关系。方法:选取2017年3月至2019年3月宝鸡市中心医院收治的行根治术治疗的138例卵巢癌患者作为卵巢癌组,选取同期行腹腔镜治疗的120例卵巢良性病变患者作为对照组,检测两组患者切除卵巢组织的hsa-miR-28表达水平,并比较卵巢癌不同病理特征患者卵巢组织hsa-miR-28表达水平。随访3年,记录卵巢癌根治术后复发情况,比较复发和未复发患者hsa-miR-28表达水平,并采用Cox回归分析卵巢癌根治术后复发的影响因素。结果:卵巢癌组卵巢组织hsa-miR-28表达水平低于对照组(2.24±0.62 vs. 4.12±0.73,P<0.001);低分化、FIGO分期Ⅲ期卵巢癌患者hsa-miR-28表达水平低于高/中分化、FIGO分期Ⅰ~Ⅱ期患者(1.72±0.31 vs. 2.70±0.54、1.79±0.34 vs. 2.53±0.66,P<0.05)。随访3年期间138例卵巢癌患者有49例复发,复发率为35.51%,复发组低分化、FIGO分期Ⅲ期占比均高于未复发组(P<0.05),复发组术后化疗患者占比及hsa-miR-28表达水平低于未复发组(P<0.05); Cox分析结果显示,hsa-miR-28低表达、低分化、FIGO分期Ⅲ期均是卵巢癌根治术后复发的危险因素,术后化疗是其保护因素(P<0.05)。结论:hsa-miR-28在卵巢癌组织中呈低表达,且与卵巢癌临床病理特征及根治术后复发密切相关,检测hsa-miR-28表达水平对于评估卵巢癌病情进展及预后可能具有潜在的临床价值。 |
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