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原发性肝癌患者血清PIVKA-Ⅱ、AFP表达水平及其临床意义

Expression of serum PIVKA-Ⅱand AFP levels in patients with primary liver cancer and their clinical significance

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目的 探讨原发性肝癌患者血清维生素K缺乏或拮抗剂-Ⅱ诱导的蛋白质(PIVKA-Ⅱ)、甲胎蛋白(AFP)水平变化及其临床意义.方法 回顾性分析温州医科大学附属苍南医院 2019 年 1 月至 2023 年 10 月接诊的 68 例原发性肝癌患者的临床资料,作为肝癌组,并选择同期接诊的 50 例乙型肝炎肝硬化患者作为肝硬化组、50 例慢性乙型肝炎患者作为肝炎组、50 例健康人群作为对照组.比较四组血清PIVKA-Ⅱ、AFP水平,比较肝癌组不同病理特征患者血清PIVKA-Ⅱ、AFP水平.结果 肝癌组血清PIVKA-Ⅱ、AFP水平均高于肝硬化组、肝炎组及对照组,有统计学意义(P<0.05),肝硬化组、肝炎组、对照组血清PIVKA-Ⅱ比较,无统计学意义(P>0.05),肝硬化组、肝炎组血清AFP比较,无统计学意义(P>0.05);肝癌组不同TNM分期、肝功能Child分级、肿瘤直径、病灶数量、淋巴结转移、微血管侵犯患者比较,均有统计学意义(P<0.05).结论 原发性肝癌患者血清PIVKA-Ⅱ、AFP均明显升高,可反映患者病情程度,有较好的临床应用价值.
Objective To study the serum Protein Induced by Vitamin K Absence or Antagonist-Ⅱ(PIVKA-Ⅱ)and Alpha-fetoprotein(AFP)levels in patients with primary liver cancer and their clinical significance.Methods The clinical data of 68 patients with primary liver cancer ad-mitted to our hospital from January 2019 to October 2023 were analyzed as the liver cancer group,and 50 patients with hepatitis B cirrhosis admitted during the same period were selected as the cirrhosis group,50 patients with chronic hepatitis B as the hepatitis group,and 50 healthy people as the control group.The serum PIVKA-Ⅱ and AFP levels in the four groups were compared,and serum PIVKA-Ⅱ and AFP levels in patients with differ-ent pathological characteristics in the liver cancer group were compared.Results The serum PIVKA-Ⅱ and AFP levels in liver cancer group were higher than those in cirrhosis group,hepatitis group and control group,with statistical significance(P<0.05).There was no statistical significance in serum PIVKA-Ⅱ between cirrhosis group,hepatitis group and control group(P>0.05),and there was no significant difference in serum AFP between cirrhosis group and hepatitis group(P>0.05).Comparison of patients with different TNM stage in liver cancer group,liver function Child grade,tumor diameter,number of lesions,lymph node metastasis and microvascular invasion in HCC group,there was statistical significance(P<0.05).Conclusion Serum PIVKA-Ⅱ and AFP were significantly increased in patients with primary liver cancer,which could reflect the severity of the pa-tient's disease and have good clinical application value.

Primary liver cancerProtein Induced by Vitamin K Absence or Antagonist-ⅡAlpha-fetoproteinPathological features

卓晓娅、陈礼好、黄定蒙

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325804 苍南,浙江省苍南县第三人民医院

温州医科大学附属苍南医院

原发性肝癌 维生素K缺乏或拮抗剂-Ⅱ诱导的蛋白质 甲胎蛋白 病理特征

2024

浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
年,卷(期):2024.29(4)
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