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卵巢肿瘤患者血清乳酸脱氢酶等指标测定
The diagnostic value of the assay of lactatedehydrogenese combined with other tumormarkers in ovarian cancer
【摘要】 对70例卵巢良、恶性肿瘤,31例妇科其他恶性肿瘤患者和35例对照者的血清,进行乳酸脱氢酸(LDH)及其同工酶、唾液酸(SA)、癌胚抗原(CEA)、β_2-微球蛋白(β_2-MG)和碱性磷酸酶(AKP)六项指标检测。结果:(1)卵巢恶性肿瘤患者血清中六项指标均值高于对照者和卵巢良性肿瘤患者;与妇科其他恶性肿瘤患者比较,除LDH及LDH同工酶以外,其余无显著性差异。(2)Ⅲ、Ⅳ期卵巢癌患者的六项指标阳性率高于Ⅰ、Ⅱ期患者;上皮性癌患者的LDH、LDH同工酶、CEA及β_2-MG的阳性率高于非上皮性癌。(3)判断卵巢肿瘤的良、恶性,单项指标以LDH同工酶的诊断性能为最好,其次依次为LDH、SA、CEA、β_2-MG和AKP;多项指标组合以LDH+LDH同工酶+SA的诊断性能为最好。
【Abstract】 hirty-five cases of ovarian cancer, 35 ovarianbenign tumors, 31 other gynecologic cancer and 35normal controls were assayed for LDH,LDHisonezyme, SA, CEA, β2-MG and AKP. Theresults showed:(1)The average content of tumormarkers in ovarian cancer was higher than benign tu-mor and healthy controls. (2)The positive rate of tu-mor markers in stage Ⅰ and Ⅱ patients of ovarian can-cer was lower than in stage Ⅲ and Ⅳ. (3) In the tumormarkers, the diagnostic value of LDH-isonezyme forovarian cancer was best. (4)Combined assaying LDH,LDH-isonezyme and SA was superior to using onemarker for the diagnosis of ovarian cancer.
- 【文献出处】 中华妇产科杂志 ,Chinese Journal of Obstetrics And Gynecology , 编辑部邮箱 ,1994年06期
- 【分类号】R737.310.4
- 【被引频次】20
- 【下载频次】125