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三种化学发光系统测定AFP和CA125结果可比性研究

Comparative study on alpha-fetoprotein and carbohydrate antigen 125 determination by three chemiluminescence immunoassay systems

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【作者】 徐克池胜英张东矗郭俊峰

【Author】 XU Ke1,CHI Shengying2,ZHANG Dongchu3,GUO Junfeng4.(1.Department of Clinical Laboratory,Wenzhou Second People′s Hospital,Zhejiang Wenzhou 325000,China;2.Department of Clinical Laboratory,the First Affiliated Hospital of Wenzhou Medical College,Zhejiang Wenzhou 325000,China;3.Department of Clinical Laboratory,Wenzhou Third People′s Hospital,Zhejiang Wenzhou 325000,China;4.Department of Laboratory Medicine,Wenzhou Medical College,Zhejiang Wenzhou 325000,China)

【机构】 温州市第二人民医院检验科温州医学院附属第一医院检验科温州市第三人民医院检验科温州医学院检验与卫生学院

【摘要】 目的探讨3种不同化学发光系统(A:Elecsys 2010、B:Architect i2000、C:Dxi 800)测定甲胎蛋白(AFP)和糖类抗原125(CA125)结果的可比性。方法取不同浓度AFP的血清79份和CA125血清55份,分别在3种化学发光免疫系统上进行AFP和CA125检测,分析比较结果。结果AFP和CA125测定结果在3种检测系统间差异均有统计学意义(P<0.01),2个项目在3种检测系统之间各相关系数均>0.975。以A系统作为基准系统对B、C系统作临床可接受性能评价,AFP结果B系统临床部分接受,C系统全部接受;CA125结果B和C系统临床全部接受。结论3种检测系统测定CA125结果临床可接受性能评价具有可比性,他们之间差异可为临床所接受,AFP在A和C系统之间的差异可为临床接受。

【Abstract】 Objective To compare the results of alpha-fetoprotein(AFP) and the carbohydrate antigen 125(CA125) determined by 3 different chemiluminescence immunoassay(CLIA)systems(A: Elecsys 2010,B:Architect i2000,C:Dxi 800).Methods The 3 different CLIA systems were used to detect AFP in 79 samples and CA125 in 55 samples.The collected data were processed by statistical analysis.Results Analysis of variances showed that AFP and CA125 results were significant different among 3 different CLIA systems(P<0.01).The correlation coefficient of each system was above 0.975.When A system was used as standard system to evaluate the acceptability of B and C system,B system was partly and C system was completely acceptable of AFP,and they were completely acceptable of CA125.Conclusions There is comparability of 3 CLIA systems in the evaluation of clinical acceptability of CA125 and the difference between them is acceptable.The difference between A and C system is acceptable in the evaluation of clinical acceptability of AFP.

【基金】 温州市医药卫生科研项目(2008043)
  • 【文献出处】 检验医学 ,Laboratory Medicine , 编辑部邮箱 ,2009年02期
  • 【分类号】R446.61
  • 【被引频次】4
  • 【下载频次】136
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