首页|异常糖链糖蛋白不同截断值排查肺癌的效能观察

异常糖链糖蛋白不同截断值排查肺癌的效能观察

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目的 探究异常糖链糖蛋白(TAP)不同截断值排查肺癌的效能。方法 选取江西省胸科医院2021年1月至2022年1月收治的66例肺癌患者与同期收治的66例非肺癌患者作为研究对象。计算肺癌与非肺癌疾病患者TAP凝聚物面积指标差异,判断TAP是否能用于诊断肺癌疾病,通过绘制ROC曲线方式得到患者TAP的最佳截断值,进行肺癌诊断,判断诊断效能,并以临床常见TAP正常参考范围(<121 μm2)与所得截断值比较诊断效能。结果 肺癌组的TAP凝聚物面积大于非肺癌组,差异有统计学意义(P<0。05)。通过绘制ROC曲线,确定>170μm2为最高截断值,比较其与临床常见TAP的正常参考范围(<121 μm2)的诊断效能,结果显示二者的阳性检出率、灵敏度、特异度、阳性预测值、阴性预测值、诊断符合率比较,差异无统计学意义(P>0。05)。结论 对疑似肺癌患者实行TAP不同截断值排查,以170μm2截断值排查效果较佳,值得临床推广应用。
Efficacy observation of different cut-off values of tumor abnormal pro-tein in screening lung cancer
Objective To explore the efficacy of different cut-off values of tumor abnormal protein(TAP)in screening lung cancer.Methods A total of 66 lung cancer patients and 66 non-lung cancer patients admitted to Jiangxi Chest Hospital from January 2021 to January 2022 were selected as the research objects.The area difference of TAP aggregate between lung cancer patients and non-lung cancer patients was calculated to determine whether TAP can be used to diagnose lung cancer.The optimal cut-off value of TAP was obtained by drawing the ROC curve to diagnose lung cancer and determine the diag-nostic efficiency.The diagnostic efficiency was compared with the clinical common TAP normal reference range(<121 μm2).Results TAP condensed area of lung cancer group is greater than the lung cancer group,and the difference was statistically significant(P<0.05).By drawing the ROC curve,the highest cut-off value>170 μm2 was determined,and the diagnostic efficacy was compared with the normal reference range of TAP(<121 μm2).The results showed that there were no signifi-cant differences in the positive detection rate,sensitivity,specificity,positive predictive value,negative predictive value,and diagnostic coincidence rate between the two groups(P>0.05).Conclusion Different cut-off values of TAP are used to screen suspected lung cancer patients,and the screening effect is better with the cut-off value of 170 μm2,which is worthy of clinical application.

Tumor abnormal proteinCut-off valueScreening for lung cancerDiagnostic efficacy

农雪萍、黄建华、刘成英

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江西省胸科医院病理科,江西南昌 330006

江西省胸科医院呼吸与危重症医学科,江西南昌 330006

异常糖链糖蛋白 截断值 肺癌排查 诊断效能

江西省卫生健康委科技项目

202211270

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(1)
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