首页|胃癌血清学中癌胚抗原(CEA)、糖类抗原199(CA199)、糖类抗原724(CA724)、胃蛋白酶原Ⅰ(PGI)和胃蛋白酶原Ⅱ(PGⅡ)的表达及意义探讨

胃癌血清学中癌胚抗原(CEA)、糖类抗原199(CA199)、糖类抗原724(CA724)、胃蛋白酶原Ⅰ(PGI)和胃蛋白酶原Ⅱ(PGⅡ)的表达及意义探讨

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目的 分析胃癌血清学中癌胚抗原(Carcinoembryonic Antigen,CEA)、糖类抗原199(Carbohydrate Anti-gen 199,CA199)、糖类抗原724(Carbohydrate Antigen 724,CA724)、胃蛋白酶原I(Pepsinogen Ⅰ,PGI)和胃蛋白酶原Ⅱ(Pepsinogen Ⅱ,PGⅡ)的表达和意义.方法 选取2021年6月—2023年6月邳州市中医院收治的154例胃癌患者设为观察组,选取同期本院收治的154例胃良性病变患者设为对照组.采用化学发光法检测所有患者CEA、CA199、CA724、PGI、PGⅡ指标水平,绘制受试者操作特征(Receiver Operating Characteristic,ROC)曲线,并基于曲线下面积(Area Under Curve,AUC)评估上述指标的诊断效能.结果 观察组CEA、CA199、CA724、PGI、PGⅡ水平均高于对照组,差异有统计学意义(P均<0.05).经ROC曲线分析,上述指标单独检测中,PGⅡ的AUC最大,为0.820(95%CI:0.724~0.912),CA724最小,为0.591(95%CI:0.488~0.713).5项指标联合检测的AUC为0.883(95%CI:0.804~0.949),大于单独检测.结论 CEA、CA199、CA724、PGI、PGⅡ联合检测的诊断价值较高,可以作为临床辅助诊断胃癌的参考指标.
Exploring the Expression and Significance of Carcinoembryonic Antigen(CEA),Carbohydrate Antigen 199(CA199),Carbohydrate Antigen 724(CA724),Pepsinogen Ⅰ(PGI)and Pepsinogen Ⅱ(PGⅡ)in Gastric Cancer Serology
Objective To analyze the expression and significance of carcinoembryonic antigen(CEA),carbohydrate an-tigen 199(CA199),carbohydrate antigen 724(CA724),pepsinogen Ⅰ(PGI)and pepsinogen Ⅱ(PGⅡ)in gastric can-cer serology.Methods A total of 154 patients with gastric cancer admitted to Pizhou Hospital of Traditional Chinese Medicine from June 2021 to June 2023 were selected as the observation group.A total of 154 patients with benign gas-tric lesions admitted to our hospital at the same time were selected as the control group.The levels of CEA,CA199,CA724,PGI and PGⅡ in all patients were detected by chemiluminescence method.The receiver operating character-istic(ROC)curve was protracted,and the diagnostic efficiency was estimated based on the area under curve(AUC).Results The levels of CEA,CA199,CA724,PGI and PGⅡ in the observation group were higher than those in the con-trol group,the differences were statistically significant(all P<0.05).According to ROC curve analysis,among the in-dexes above,the AUC of PGⅡ of 0.820 was the highest(95%CI:0.724~0.912),while 0.591 of CA724 was the lowest(95%CI:0.488~0.713).AUC in the combined index detection of the 5 indexes of 0.883 was higher than those in the single index detection(95%CI:0.804~0.949).Conclusion The diagnostic value of combined detection of CEA,CA199,CA724,PGI and PGⅡ by chemiluminescence method is significant,it can be used as a reference index for clinically assisted diagnosis of gastric cancer.

Gastric cancerSerologyMarkersExpressionSignificance

戴艳环、陈莉、张伟

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邳州市中医院检验科,江苏邳州 221300

胃癌 血清学 标志物 表达 意义

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(7)
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