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血清β2微球蛋白测定对卵巢癌的诊断价值

VALUE OF SERUM β2-MICROGLOBULIN IN DIAGNOSIS OF OVARIAN CARCINOMA

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【作者】 王言奎白永秀

【Author】 Wang Yankui, Bai Yongxiu Department of Obstetrics and Gynecology

【机构】 青岛医学院附属医院妇产科青岛医学院附属医院妇产科

【摘要】 用放射免疫分析法对201例女性血清β2微球蛋白(β2-M)进行检测,其中卵巢癌组42例,良性卵巢肿瘤组72例和正常对照组87例.结果表明,卵巢癌组的血清β2-M较后两组明显升高,有极显著性差异(P<0.0001),但良性卵巢肿瘤组和正常对照组的差异不显著(P>0.05).以正常对照组血清β2-M(?+2s)3.2mg/L作为正常值的上限,结果良性卵巢肿瘤组和卵巢癌组分别有11%(8/72)和64%(27/42)的病人血清β2-M升高.卵巢癌Ⅰ~Ⅳ期分别有4/9,3/5,10/15和3/3的病人血清β2-M升高,表明随着病情进展血清β2-M渐升高.提示血清β2-M可反映卵巢癌瘤负荷,是对卵巢癌诊断和鉴别诊断有价值的指标之一.

【Abstract】 Serum β2 - microglobulin ( β2 - M ) was determined by radioimmunoassay in 201 wo -men, including 42 with ovarian carcinoma, 72 with benign ovarian tumor and 87 normal controls . The result showed that the level of β2 - M was markedly elevated in the group with ovarian carcinoma (P<0. 0001) but there was no difference between the group with bengin ovarian tumor and the control group. With 3.2mg/L (?+2s) of the control group taken as the upper limit of the normal level, we found 11% (8/72) in the benign tumor group and 64% (27/42) in the carcinoma group were above that limit. We also found that serum β2-M was raised in 4/9 of the patients in stage Ⅰ , 3/5 in stage Ⅱ , 10/15 in stage Ⅲ and 3/3 in stage Ⅳ, which showed that the β2-M content increased as the tumor progressed. The above suggests that serum β2-M may reflect the ovarian tumor load and is one of the valuable ovarian tumor markers in the disgnosis ane discrimination of ovarian carcinoma.

【关键词】 β2微球蛋白类卵巢肿瘤诊断
【Key words】 beta 2 microglobulinovarian neoplasmadiagnosis
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