首页|血清LAIR2联合CYFRA21-1、NSE、CEA对肺癌的辅助诊断价值

血清LAIR2联合CYFRA21-1、NSE、CEA对肺癌的辅助诊断价值

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目的 探究血清白细胞关联免疫球蛋白样受体2(LAIR2)联合细胞角蛋白19 片段(CYFRA21-1)、神经特异性烯醇化酶(NSE)、癌胚抗原(CEA)对肺癌的辅助诊断价值.方法 回顾性选取 86 例肺癌患者作为观察组,另外选取同时期进行相关检查的健康体检人群 57 例作为对照组.比较 2 组一般资料、LAIR2、CYFRA21-1、NSE、CEA水平,评价LAIR2、CYFRA21-1、NSE、CEA对肺癌的诊断价值.结果 2 组性别、年龄、体质量指数比较差异无统计学意义(P<0.05).观察组LAIR2、CYFRA21-1、NSE、CEA水平均显著高于对照组(P均<0.001).将观察组=1,对照组=0 作为因变量,LAIR2、CYFRA21-1、NSE、CEA作为自变量,进行回归分析,结果显示,LAIR2、CYFRA21-1、NSE、CEA均是肺癌发生的独立危险因素.LAIR2 的预测阈值为 5.770 ng/ml,灵敏度 76.7%,特异度 89.5%;CYFRA21-1 的预测阈值为3.765 ng/ml,灵敏度80.2%,特异度96.5%;NSE的预测阈值为 7.975 ng/ml,灵敏度 79.1%,特异度 87.7%;CEA的预测阈值为3.120 ng/ml,灵敏度90.7%,特异度100.0%.LAIR2、CYFRA21-1、NSE、CEA以及四者联合的AUC面积分别为0.867、0.925、0.889、0.939 以及0.997,四者联合的AUC面积最大,灵敏度为96.5%,特异度为100.0%,预测效能较好.结论 肺癌患者血清LAIR2、CYFRA21-1、NSE、CEA水平均异常增加.血清LAIR2 联合CYFRA21-1、NSE、CEA对肺癌的辅助诊断有一定积极意义.
The Auxiliary Diagnostic Value of Serum LAIR2 Combined with CYFRA21-1,NSE and CEA in Lung Cancer
Objective To explore the diagnostic value of serum leukocyte associated immunoglobulin-like receptor 2(LAIR2)combined with cytokeratin 19 fragment(CYFRA21-1),neurospecific enolase(NSE)and carcinoembryonic antigen(CEA)in lung cancer.Methods 86 patients with lung cancer were retrospectively selected as the observation group,and 57 healthy people who underwent relevant examinations in the same period were selected as the control group.The general data,LAIR2,CYFRA21-1,NSE and CEA levels of the 2 groups were compared to evaluate the diagnostic value of LAIR2,CYFRA21-1,NSE and CEA in lung cancer.Results There was no significant difference in gender,age and body mass index between the 2 groups(P<0.05).The levels of LAIR2,CYFRA21-1,NSE and CEA in the observation group were significantly higher than those in the control group(P<0.001).The observation group =1,control group =0 as dependent variables,and LAIR2,CYFRA21-1,NSE and CEA as independent variables were used for regression analysis.The results showed that LAIR2,CYFRA21-1,NSE and CEA were all independent risk factors for lung cancer.The prediction threshold of LAIR2 was 5.770 ng/ml,the sensitivity was 76.7%,and the specificity was 89.5%.The prediction threshold of CYFRA21-1 was 3.765ng/ml,the sensitivity was 80.2%and the specificity was 96.5%.The prediction threshold of NSE was 7.975ng/ml,the sensitivity was 79.1%,and the specificity was 87.7%.The predictive threshold of CEA was 3.120ng/ml,the sensitivity was 90.7%,and the specificity was 100.0%.The AUC area of LAIR2,CYFRA21-1,NSE,CEA and the combination of the four were 0.867,0.925,0.889,0.939 and 0.997,respective-ly.The AUC area of the combination of the four was the largest,the sensitivity was96.5%,the specificity was100.0%,and the prediction efficiency was good.Conclusion The serum levels of LAIR2,CYFRA21-1,NSE and CEA are abnormally increased in patients with lung cancer.Serum LAIR2 combined with CYFRA21-1,NSE and CEA have positive significance in the auxiliary di-agnosis of lung cancer.

LAIR2CYFRA21-1NSECEALung cancer

马明瑛、贾莹莹、郭双双、张治业

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471003 河南科技大学第一附属医院

LAIR2 CYFRA21-1 NSE CEA 肺癌

河南省医学科技攻关计划省部共建项目(2021、2022)

S13GJ202102200

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(4)
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