首页|联检血浆D-D、血清CRP和四种肿瘤标志物对早期肺癌的诊断价值

联检血浆D-D、血清CRP和四种肿瘤标志物对早期肺癌的诊断价值

The Value of Combined Detection of Plasma D-dimer, Serum CRP and Four Tumor Markers in the Diagnosis of the Early Lung Cancer

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目的:联检肺癌病人血浆D-二聚体(D-D)、血清CRP、CEA、CA125、CYFRA21-1、NSE水平,探讨其在肺癌早期诊断中的临床价值.方法:分别检测91例肺癌患者(肺癌组)、66例肺部良性疾病患者(良性肺病组)、60例健康体检者(对照组)血浆D-D、血清CRP、CEA、CA125、CYFRA21-1、NSE水平,并比较三组各指标的阳性率以及6项指标单一或联检的敏感度和特异度.结果:肺癌组血浆D-D、血清CRP、CEA、CA125、CYFRA21-1、NSE水平均明显高于对照组以及良性肺病组,差异均有统计学意义(P<0.05);良性肺病组血浆D-D、血清CRP水平高于对照组,差异有统计学意义(P<0.05),而两组CEA、CA125、CYFRA21-1、NSE水平比较差异无统计学意义(P>0.05);肺癌组各指标阳性率明显高于对照组以及良性肺病组(P均<0.05),联检各指标可提高肺癌诊断的敏感度(P<0.05).结论:联检肺癌病人血浆D-D、血清CRP、CEA、CA125、CYFRA21-1、NSE水平可提高肺癌的早期辅助诊断率,为患者的治疗提供依据以及更早的治疗时机.
Objective To explore the value of combined detecting plasma D-dimer, serum CRP and four tumor makers in the diagnosis of the early lung cancer. Methods The levels of plasma D-dimer, serum CRP, CEA, CA125, CYFRA21-1, NSE in 91 lung cancer cases(lung cancer group) , 66 cases with benign lung diseases(benign lung diseases group) and 60 healthy vohmteeis ( control group) were detected respectively. Positive rate of the six parameters were compared among the three groups, and individual and combined sensitivity and specificity of the six parameters were also compared. Results Lung cancer group showed higher D-dimer, CRP, CEA, CA125, CYFRA21-1, NSE levels than those in the benign lung disease group and the healthy control group (P both <0.05) ; The benign lung disease group presented higher D-dimer, CRP levels than the control group (P both <0. 05) ; But expressed no significant difference in CEA., CA125, CYFRA21-1, NSE levels between the benign lung disease group and the control group (both P>0.05) ; And lung cancer group showed higher positive rate of these indicators than the other groups (both P<0.05) ; Combined detection of these indicators' levels can raise the sensitivity( both P< 0.05). Conclusion Combined detection of plasma D-dimer, serum CRP, CEA, CA125, CYFRA21-1, NSE levels can improve the diagnostic accuracy and provides the basis for treatment and the opportunity of earlier treatment.

D-dimerC-reactive protein (CRP)tumor markerlung cancer

张丽红

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温州医学院检验医学院,325000

浙江省绍兴市人民医院检验科,312000

D-二聚体 C反应蛋白(CRP) 肿瘤标志物 肺癌

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(4)
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