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上皮型钙粘蛋白联合CA125在子宫内膜异位症诊断中的价值

The role of E-cadherin and CA125 in the diagnosis of endometriosis

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【作者】 史文静宋绿茵梅开勇郑彩银

【Author】 SHI Wen-Jing,SONG Lu-Yin,MEI Kai-Yong,et al.Department of Obstetrics and Gynecology,The Second Affiliated Hospital of Guangzhou Medical College,Guangzhou 510260,Guangdong,China

【机构】 广州医学院第二附属医院妇产科广州医学院第二附属医院病理科广州医学院第二附属医院妇产科 广东广州510260广东广州510260

【摘要】 目的:探讨血清上皮型钙粘蛋白(E-cad)结合CA125在子宫内膜异位症诊断中的价值。方法:分别以酶联免疫法和放射免疫法检测子宫内膜异位症患者、对照组及正常人血清中E-cad和CA125的含量,并进行比较。结果:子宫内膜异位症组血清中E-cad含量较对照组和正常人均明显升高(P<0.05);单独依据E-cad诊断子宫内膜异位症的敏感性及特异性分别为79.3%及80.7%,单独依据CA125诊断子宫内膜异位症则分别为65.2%及51.9%,两者联合特异性明显提高,为84.1%。结论:血清E-cad含量在子宫内膜异位症患者明显升高;在子宫内膜异位症中血清E-cad较CA125特异性高,可望将其作为子宫内膜异位症的生物学标志分子之一。

【Abstract】 Objective:To investigate the role of E-cadherin and CA125 in the diagnosis of endometriosis.Methods:The level of E-cadherin and CA125 in the serum of endometriosis patients were compared with that of the control group and normal group using the enzyme linked immunosorbent assay and radio-immunity.Results:The level of E-cad in serum of endometriosis patients was significantly higher than that of control and normal group.With the evaluation of E-cad,the sensitivity and specificity was 79.3% and 80.7%,respectively.While that of CA125 was 65.2% and 51.9%,respectively.Then,when both E-cad and CA125 were used to predict the diagnosis of endometriosis,the specificity increased to 84.1%.Conclusion:In the serum of endometriosis,the level of E-cad is increased.The specificity of the increased level of serum E-cad is higher than that of CA125 to diagnose endometriosis.So,E-cad may become a biological maker of endometriosis.

【关键词】 上皮型钙粘蛋白子宫内膜异位症CA125
【Key words】 E-cadherinEndometriosis,CA125
【基金】 广州市医药卫生科技项目(2005-YB-138)
  • 【文献出处】 中国妇幼保健 ,Maternal and Child Health Care of China , 编辑部邮箱 ,2007年17期
  • 【分类号】R711.71
  • 【被引频次】4
  • 【下载频次】126
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