摘要
目的 :研究 TGF-β1、p2 7蛋白在胆囊癌中的表达 ,探讨 TGF-β1、p2 7与胆囊癌预后的关系。方法 :采用免疫组化 SABC法检测 TGF-β1、p2 7各自在胆囊癌、胆囊炎中的表达及两者同时在胆囊癌、胆囊炎中的表达 ,并比较 TGF-β1、p2 7胆囊癌组织中同时阳性表达组与阴性表达组患者术后 2年内的生存时间。结果 :TGF- β1在胆囊炎组织中的阳性表达率 1 4.2 9%,在胆囊癌组织中的阳性表达率 44.74%;p2 7在胆囊炎组织中的阳性表达率为 78.5 7%,在胆囊癌组织中的阳性表达率42 .1 1 %;TGF- β1、p2 7在胆囊炎组织中同时表达的阳性率 7.1 4%,在胆囊癌组织中同时表达的阳性率 42 .1 1 %;TGF- β1、p2 7在胆囊癌组织中同时阳性表达组术后 2年内的平均生存时间为 1 8.7个月 ,阴性表达组的平均生存时间为 1 0 .5个月。两者差异均有统计学意义 ( P<0 .0 5 )。结论 :TGF-β1、p2 7在胆囊癌的发生、发展中起重要作用 ,与预后有关 ,可作为判断患者手术预后的评价指标。
Objective: To Study the expression of TGF-β1 and p27 in Carcinoma of Gallbladder, and to discuss the relation to the expression of TGF-β1 and p27 and prognosis. Methods:To Detect the expression of TGF-β1 and p27 in Carcinoma of Gallbladder and cholecystitis respectively and the expression of them in Carcinoma of Gallbladder and cholecystitis simultaneously by immunohistochemistry, and comparing the survival time in 2 years after operation in positive expression of TGF-β1 and p27 and negative expression of them in Carcinoma of Gallbladder simultaneously.Results: The positive expression rate of TGF-β1 in cholecystitis was 14.29%, and that in Carcinoma of Gallbladder was 44.74%, and the difference had significance of statistics (P<0.05). The positive expression rate of p27 in cholecystitis was 78.57%, and that in Carcinoma of Gallbladder was 42.11%,and the difference had significance of statistics (P<0.05). The average survival time was 18.7±5.2 months that in positive expression of TGF-β1 and p27 in Carcinoma of Gallbladder simultaneously, and it was 10.5±5.7 that in negative expression of TGF-β1 and p27 in Carcinoma of Gallbladder simultaneously, and the difference had significance of statistics (P<0.05). Conclusion:TGF-β1 and p27 play a part in the occurrence and progression of Carcinoma of Gallbladder, and they have something with prognosis. So they can be as an evaluative target to judge the prognosis.
出处
《浙江中西医结合杂志》
2004年第10期603-604,610,共3页
Zhejiang Journal of Integrated Traditional Chinese and Western Medicine