临床外科杂志 ›› 2025, Vol. 33 ›› Issue (12): 1267-1270.doi: 10.3969/j.issn.1005-6483.20241777

• 论著 • 上一篇    下一篇

术前C反应蛋白-白蛋白-淋巴细胞指数对食管癌病人手术治疗预后的临床意义

唐海军 魏小丽   

  1. 621100 四川绵阳,川北医学院附属三台医院胸心外科(唐海军),临床药学室(魏小丽)
  • 收稿日期:2024-11-05 出版日期:2025-12-20 发布日期:2025-12-20
  • 通讯作者: 魏小丽,Email:372132344@qq.com

The clinical significance of preoperative C-reactive protein albumin lymphocyte index on prognosis of surgical treatment in esophageal cancer patients

TANG Haijun,WEI Xiaoli   

  1. Affiliated Santai Hospital of Chuanbei Medical College,Mianyang 621100,China
  • Received:2024-11-05 Online:2026-01-22 Published:2025-12-20

摘要: 目的 探讨术前C反应蛋白-白蛋白-淋巴细胞(CALLY)指数对食管癌(EC)病人手术治疗预后的预测价值。方法 2020年1月~2024年6月行根治性切除术EC病人120例。收集病人术前1周的全血细胞计数、白蛋白、总淋巴细胞计数、C反应蛋白(CRP)水平和肿瘤标志物,计算CALLY指数,分析CALLY指数与无病生存期(DFS)、总生存期(OS)、手术部位感染(SSI)的相关性。结果 老年病人(≥69岁)、接受新辅助化疗、有淋巴浸润、T分期晚期(T3/4)、有淋巴结转移病人术前CALLY指数较低,差异有统计学意义(P<0.05)。多因素分析显示,术前CALLY指数较低是EC病人OS和DFS缩短、术后SSI的独立风险因素(P<0.05)。结论 术前CALLY指数可作为食管癌病人手术治疗预后的预测因素。

关键词: C反应蛋白; 白蛋白; 淋巴细胞指数; 食管癌

Abstract: Objective To explore the predictive value of preoperative C-reactive protein albumin lymphocyte(CALLY) index on prognosis of surgical treatment in esophageal cancer(EC) patients.Methods From January 2020 to June 2024, 120 patients with EC underwent radical resection.Collect the patient's whole blood cell count,albumin,total lymphocyte count,CRP level,and tumor markers one week before surgery,and calculate the CALLY index.Analyze its correlation with disease-free survival(DFS),overall survival(OS),and surgical site infection(SSI).Results Elderly patients(≥69 years old),patients receiving neoadjuvant chemotherapy,patients with lymphatic infiltration,patients with advanced T stage(T3/4), patients with lymph node metastasis had lower preoperative CALLY index,and the difference was statistically significant(P<0.05).Multivariate analysis showed that low preoperative CALLY index was an independent risk factor for decreased OS and DFS in EC patients;low preoperative CALLY index was an independent risk factor for postoperative SSI in EC patients(P<0.05).Conclusion The preoperative CALLY index can serve as a predictive factor for the prognosis of esophageal cancer patients undergoing surgical treatment.

Key words: C-reactive protein; albumin; lymphocyte index; esophageal cancer

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