红细胞相关指标在食管癌早期诊断和预后评估中的价值  

Value of red blood cell related indexes in the early diagnosis and prognosis evaluation of esophageal cancer

作　　者：徐子昂 高鑫 陈园 蒲瑜轩 马文文 李庆新 XU Zi-ang;GAO Xin;CHEN Yuan(First Clinical Medical College of Gansu University of Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学第一临床医学院,730000 [2]中国人民解放军联勤保障部队第九四〇医院胸心外科,730000

出　　处：《中国实用医药》2023年第7期163-166,共4页China Practical Medicine

摘　　要：食管癌(EC)是世界范围内最常见的胃肠道恶性肿瘤之一,许多患者在患病早期没有明显的临床特征,且目前除内窥镜检查外缺乏其他简易准确的诊断及预测措施,而内窥镜检查又因体验感较差而影响患者接受程度,以至于大多数EC患者在确诊时已处于癌症中晚期。随着医学研究的不断进展,有越来越多的研究发现血常规中红细胞相关指标可以对EC的早期诊断以及预后评估起到一定的指导作用,故而探讨红细胞体积分布宽度(RDW)、平均红细胞体积(MCV)、血细胞比容(HCT)、平均红细胞血红蛋白含量(MCH)、平均红细胞血红蛋白浓度(MCHC)等红细胞相关指标在EC早期诊断及预后评估中的价值具有重要的临床意义。Esophageal cancer(EC)is one of the most common gastrointestinal malignancies around the world.Many patients have no obvious clinical features in the early stages of the disease,in addition to endoscopy,there is a lack of other simple and accurate diagnosis and prediction measures,and endoscopy affects the acceptance of patients because of poor experience at present,so that most EC patients have been in the middle and late stage of cancer when diagnosed.With the continuous progress of medical research,more and more studies have found that erythrocyte related indicators in blood routine can play a guiding role in the early diagnosis and prognosis evaluation of EC.Therefore,it is of great clinical significance to explore the value of red blood cell distribution width(RDW),mean corpuscular volume(MCV),hematocrit(HCT),mean corpuscular hemoglobin(MCH),mean corpuscular hemoglobin concentration(MCHC)in the early diagnosis and prognosis evaluation of EC.

关 键 词：食管癌 红细胞体积分布宽度 平均红细胞体积 血细胞比容 平均红细胞血红蛋白含量 平均红细胞血红蛋白浓度 

分 类 号：R735.1[医药卫生—肿瘤]