首页|血清CEA、CA19-9、ITGβ6在胃癌根治术患者中的表达及预后评估中的意义

血清CEA、CA19-9、ITGβ6在胃癌根治术患者中的表达及预后评估中的意义

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目的 探讨血清CEA、CA19-9、ITGβ6在胃癌根治术患者中的表达及预后评估中的意义.方法 分析2020年4月至2021年8月湘南学院附属医院收治的29例胃癌根治术患者的临床资料,并纳入同期健康体检者49名作为对照组,同时根据胃癌根治术患者预后情况将其分为死亡组11例与存活组18例.记录两组患者入院时基线资料及入院24 h血清CEA、CA19-9、ITGβ6水平并进行比较.结果 胃癌组患者血清CEA、CA19-9、ITGβ6水平均分别明显高于对照组,差异有统计学意义(t=6.135,4.209,3.943,P<0.05).死亡组患者血清CEA、CA19-9、ITGβ6水平均分别明显高于存活组,差异有统计学意义(t=3.723,3.431,3.867,P<0.05).CEA+CA19-9+ITGβ6联合检测的AUC值0.901,敏感度为0.909,特异度为0.944,表明三指标联合诊断胃癌根治术预后的价值更优(P<0.05).结论 CEA+CA19-9+ITGβ6联合检测可有效诊断胃癌及提高对胃癌根治术患者的预后评估效果.
Expression of serum CEA,CA19-9,ITGβ6 in patients undergoing radical gastrectomy for gastric cancer and their significance in prognostic assessment
Objective To explore the expression and prognostic significance of serum CEA , CA19-9,and ITGβ6 in patients undergoing radical gastrectomy for gastric cancer. Methods A retrospective analysis was conducted on the clinical data of 29 patients with gastric cancer who underwent radical surgery and were admitted to our hospital from April 2020 to August 2021. Additionally,49 healthy individuals who underwent physical examinations during the same period were included as the control group. Furthermore , based on the prognosis of gastric cancer patients who underwent radical surgery ,they were divided into a death group consisting of 11 cases and a survival group with 18 cases. Baseline data and 24-hour serum levels of CEA,CA19-9,and ITGβ6 were recorded for both groups of patients upon admission and a comparison was made. Results The serum CEA,CA19-9,and ITGβ6 levels of patients in the gastric cancer group were sig-nificantly higher than those in the control group,and the differences were statistically significant(t=6.135, 4.209,3.943,P<0.05). The serum CEA,CA19-9,and ITGβ6 levels of patients in the death group were sig-nificantly higher than those in the survival group,and the differences were statistically significant(t=3.723, 3.431,3.867,P<0.05). The AUC value of the combined detection of CEA+CA19-9+ITGβ6 was 0.901,the sensitivity was 0.909,and the specificity was 0.944,indicating that the combined value of the three indicators in diagnosing the prognosis of radical gastrectomy for gastric cancer is better (P<0.05). Conclusion The combined detection of CEA+CA19-9+ITGβ6 can effectively diagnose gastric cancer and improve the prognos-tic assessment of patients undergoing radical gastrectomy.

CEACA19-9ITGβ6Gastric cancer

朱雅婷、周志雄、雷晋铭

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湘南学院附属医院检验科,湖南,郴州423000

CEA CA19-9 ITGβ6 胃癌

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(3)
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