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血清肿瘤标志物联合检测在胃癌诊断中的意义

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目的 研究血清肿瘤标志物糖类抗原724(Carbohydrate Antigen 724,CA724)、糖类抗原199(Carbohy-drate Antigen 199,CA199)、癌胚抗原(Carcinoembryonic Antigen,CEA)联合检测在胃癌诊断中的意义.方法 回顾性选取2021年6月—2022年12月日照市人民医院收治的105例胃癌患者的临床资料为胃癌组,另选取50例胃良性病变患者和50名健康人群的临床资料为对照组,分别为良性对照组和正常对照组.3组人群均有血清CA724、CA199、CEA检查资料.结果 胃癌组CA724、CA199、CEA表达水平分别为(123.70±30.70)U/mL、(296.75±65.26)U/mL、(98.67±20.15)ng/mL,良性对照组表达水平分别为(4.30±0.99)U/mL、(21.43±5.01)U/mL、(3.12±0.68)ng/mL,正常对照组表达水平分别为(4.28±0.87)U/mL、(19.74±4.12)U/mL、(3.01±0.72)ng/mL,胃癌组血清水平明显高于两个对照组,差异有统计学意义(P均<0.05);两个对照组血清水平比较,差异无统计学意义(P>0.05);血清3项标志物联合检测诊断胃癌的敏感性、准确性、阴性预测值分别为89.52%、87.74%、79.25%,明显高于各单项及两两组合检测,差异有统计学意义(P均<0.05).结论 血清CA724、CA199、CEA联合检测明显提高胃癌诊断价值.
Significance of Combined Detection of Serum Tumor Markers in the Diag-nosis of Gastric Cancer
Objective To study the significance of serum tumor marker carbohydrate antigen 724(CA724),carbohy-drate antigen 199(CA199)and carcinoembryonic antigen(CEA)combined detection in the diagnosis of gastric cancer.Methods The clinical data of 105 patients with gastric cancer initially diagnosed and treated in Rizhao People's Hos-pital from June 2021 to December 2022 were retrospectively study as the gastric cancer group,and the clinical data of 50 patients with benign gastric lesions and 50 healthy people were selected as the control group,namely benign con-trols and normal controls respectively.Serum CA724,CA199 and CEA were detected in all three groups.Results The ex-pression levels of CA724,CA199 and CEA in gastric cancer group were(123.70±30.70)U/mL,(296.75±65.26)U/mL and(98.67±20.15)ng/mL,respectively.The expression levels of benign control group were(4.30±0.99)U/mL,(21.43±5.01)U/mL and(3.12±0.68)ng/mL,in the normal control group,the expression levels were(4.28±0.87)U/mL,(19.74±4.12)U/mL and(3.01±0.72)ng/mL.The serum level of gastric cancer group was higher than that of control group,and the differences were statistically significant(all P<0.05).There was no statistically significant difference in serum lev-els between the two control groups(P>0.05).The sensitivity,accuracy and negative predictive value of three serum markers combined detection in the diagnosis of gastric cancer were 89.52%,87.74%and 79.25%,respectively,which were significantly higher than each single and pin-two detection,and the differences were statistically significant(all P<0.05).Conclusion The combined detection of serum CA724,CA199 and CEA can significantly improve the diagnostic value of gastric cancer.

Gastric cancerCA724CA199CEACombined test

夏海萍、崔红、陈佳佳、李慧

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日照市人民医院检验科,山东日照 276826

日照市人民医院内科,山东日照 276826

胃癌 CA724 CA199 CEA 联合检测

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)