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CYFRA21-1、CA125与CEA联检对非小细胞肺癌诊断的临床应用

Clinical Diagnostic Application of Combined Determination of CYFRA21-1,CA125 and CEA for Non-Small Cell Lung Carcinoma

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【作者】 潘传四吴惠英

【Author】 Pan Chuansi,Wu Huiying Yichun Municipal People’s Hospital,Yichun,Jiangxi(336000) Yichun Technical College,Yichun,Jiangxi

【机构】 江西宜春市人民医院江西宜春技术学院 336000

【摘要】 目的:探讨CYFRA21-1、CA125、CEA单项及联检对小细胞肺癌的临床应用价值。方法:采用化学发光法、放射免疫分析联检我院从2000年元月~2007年3月由病理证实的非小细胞肺癌患者171例血清CY-FRA21-1、CA125、CEA值。结果:CYFRA21-1在鳞癌中阳性率最高为54.3%,CA125、CEA在腺癌中阳性率最高,分别为59.8%、49.0%。三项联检总阳性率明显升高为80.7%。结论:联检CYFRA21-1、CA125和CEA可起到互补作用,从而明显提高非小细胞肺癌的阳性检出率,且肿瘤的阳性检出率随病情的进展而升高。

【Abstract】 Objective To investigate the clinical diagnostic usefulness of determination of dumor markers CYFRA21-1,CA125 and CEA for non-small cell lung carcinoma.Methods Serum CYFRA21-1(with IRMA) and CA125,CEA(with CLIA) levels were determined in 171 patients with non-small cell lung carcinoma.Results Positive rate of CYFRA21-1 was highest in patients with squamous cell carcinoma(54.3%),while postive rate of CA125 and CEA was higher in patients with adenocarcinoma(59.8%,49.0% respectively).Combined determination of the three markers increased the over all positive rate to 80.7% for the whole non-small cell lung cancer patients population.Conclusion Combined determination of the markers is complementary with significant enhancement of the diagnostic positive rate for non-small cell lung carcinoma.The positive rate increases along with the progression of the disease.

  • 【文献出处】 放射免疫学杂志 ,Journal of Radioimmunology , 编辑部邮箱 ,2007年05期
  • 【分类号】R734.2
  • 【被引频次】15
  • 【下载频次】56
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