首页|sB7-H3、CEA和CYFRA21-1联检对肺癌的诊断价值

sB7-H3、CEA和CYFRA21-1联检对肺癌的诊断价值

Diagnostic Value of the Combined Determination of Serum sB7-H3, CEA and CYFRA21-1 in Patients with Lung Cancer

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目的:探讨血清中可溶性B7-H3(sB7-H3)、癌胚抗原(CEA)和细胞角蛋白19片段(CYFRA21-1)三项标志物检测对肺癌的诊断价值.方法:采用电化学发光法检测肺癌组(68例)、肺良性疾病组(75例)和健康对照组(65例)的血清 CEA 和 CYFRA21-1,采用 ELISA对血清 sB7-H3 进行检测,对肺癌患者 sB7-H3、CEA和CYFRA21-1 水平与临床分期关系进行统计分析.结果:肺癌组三项肿瘤标志物均显著地高于肺良性疾病组和健康对照组(P<0.05)、sB7-H3 对肺癌诊断的敏感性为 61.76%,特异性为 92.14%;CEA 敏感性为45.8%,特异性为 90.0%;CYFRA21-1敏感性为 66.18%,特异性为 90.0%;三项标志物联检敏感性为98.53%,特异性为 88.34%、sB7-H3、CEA 和 CYFRA21-1 随着临床分期的增加而升高.结论:sB7-H3、CEA 和 CYFRA21-1可提供确切的临床价值,这些肿瘤标志物可应用于对肺癌诊断,三者联检对肺癌的诊断、鉴别诊断及临床分期等方面具有重要的临床意义.
Objective To study the diagnostic value of the combined determination of serum sB7-H3, CEA and CYFRA21-1 in patients with lung cancer. Methods The levels of serum CEA and CYFRA21-1 were measured by electrochemiliminescence immu-noassay in 68 patients with lung cancer, 75 patients with benign lung disease and 65 healthy subjects. The sB7-H3 was detected by ELISA. The relationship of sB7-H3, CEA and CYFRA21-1 levels with the clinical stages of lung cancer was analyzed by statistics. Results The levels of the 3 tumor markers in the patient group were significantly higher than those in healthy control group (P < 0.05). The sensitivity of sB7-H3 for lung cancer detection was 61.76%, with specificity of 92.14% , which were 45.8% and 90.0% respectively for CEA, and 66.18% and 90.0% individually for CYFRA21-1, and 98.53% and 88.34% discretely for the combined detection of 3 tumor markers. The levels of sB7-H3, CEA and CYFRA21-1 were rising with the increasing of clinical stages. Conclusion sB7-H3, CEA and CYFRA21-1 provides certain clinical value and these tumor markers can be applied to the diagnosis of lung cancer and their combined detection has an important clinical significance in the diagncsis, difterentical diagnosis and clinical staKe of lung cancer.

lung cancersB7-H3cytokeratin 19 fragments(CYFRA21-l)CEA

杨振强

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浙江省温岭市第二人民医院检验科,317502

肺癌 可溶性B7-H3 细胞角蛋白19片段 癌胚抗原

2013

放射免疫学杂志
同济大学

放射免疫学杂志

CSTPCD
影响因子:0.508
ISSN:1008-9810
年,卷(期):2013.26(1)
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