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目的探讨在结直肠癌肝转移预测中,术前血清癌胚抗原(CEA)、糖类抗原19-9(CA19-9)、糖类抗原50(CA50)、甲胎蛋白(AFP)、组织多肽特异性抗原(TPS)检测的应用价值。方法选取该院接诊的结直肠癌患者168例,根据术后病理结果,将发生肝转移的患者45例作为观察组,未转移患者123例作为对照组,对入组对象进行血清抽检,分析血清CEA、CA19-9、CA50、AFP、TPS表达。结果观察组血清CEA、CA19-9、CA50、AFP、TPS检测结果均高于对照组,差异有统计学意义(P<0.05);结直肠癌肝转移患者中,血清CEA、CA19-9在不同T分期患者所占百分比相比较,差异有统计学意义(P<0.05);血清指标单独检测阳性率与联合检测阳性率比较,差异有统计学意义(P<0.05);五项指标联用的灵敏度为84.44%,特异度为94.31%。结论在结直肠癌肝转移预测诊断中,术前血清CEA、CA19-9、CA50、AFP、TPS联合检测具有较高应用价值。 相似文献
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目的 检测结直肠癌患者手术前的血清癌胚抗原(CEA)、糖类抗原19-9(CA19-9)和肿瘤标记TAG-72(CA72-4)水平,以探讨其对结直肠癌的诊断价值.方法 应用电化学发光法检测173例结直肠癌患者和44例结直肠良性疾病患者的CEA、CA19-9和CA72-4水平.结果 结直肠癌患者血清CEA、CA19-9和CA72-4含量明显高于良性对照组(P<0.01).结直肠癌组中三者联合检测CEA CA19-9 CA72-4阳性率(54.9%)高于CEA CA72-4(52.6%)、CEA CA19-9(50.9%)、CA19-9 CA72-4(28.3%).结论 应尽可能同时检测3项指标,以提高其阳性率;若为节约费用,则以CEA CA72-4组合为好或单测CEA. 相似文献
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目的探讨血清癌胚抗原(carcino-embryonic antigen,CEA)、糖蛋白抗原(carbohydrate antigen,CA)19-9和CA242联合检测诊断结直肠癌的价值。方法分别采用间接酶联免疫吸附法、电化学发光法、酶免疫荧光法检测健康体检者32名(正常对照组)、良性肠病患者43例(良性对照组)和结直肠癌患者106例(结直肠癌组)血清CEA,CA19-9,CA242水平,比较3组不同发病部位、不同Dukes分期血清CEA,CA19-9,CA242水平,并比较3种肿瘤标志物单独或联合检测诊断结直肠癌的阳性率。结果结直肠癌组血清CEA,CA19-9,CA242水平高于正常对照组和良性对照组(P<0.01);结肠癌患者CA19-9水平高于直肠癌患者(P<0.05),CEA及CA242水平比较差异无统计学意义(P>0.05);Dukes分期D期血清CEA,CA19-9,CA242水平高于Dukes分期A,B,C期(P<0.01);3项肿瘤标志物单项检测诊断结直肠癌阳性率低于联合检测阳性率(P<0.05)。结论 CEA,CA19-9,CA242联合检测可提高结直肠癌诊断准确率。 相似文献
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《检验医学》2021,(9)
目的探讨循环肿瘤细胞(CTC)、癌胚抗原(CEA)及糖类抗原(CA)125联合检测在结直肠癌中的临床价值。方法选取结直肠癌患者115例(结直肠癌组)、结直肠息肉患者99例(息肉组)。检测所有研究对象甲胎蛋白(AFP)、CEA、CA125、CA19-9、CA15-3、CA72-4及CTC。根据CTC数量将结直肠癌患者分为Ⅰ组(CTC为0个/7.5 mL)、Ⅱ组(CTC为1~4个/7.5 mL)、Ⅲ组(CTC≥5个/7.5 mL)。根据结直肠癌TNM分期将结直肠癌患者分为0~Ⅱ期组、Ⅲ期组、Ⅳ期组。采用Logistic回归分析评估结直肠癌的危险因素。采用受试者工作特征(ROC)曲线评价各项指标鉴别诊断结直肠癌的价值。结果Ⅰ组血清CEA、CA19-9、CA72-4水平低于Ⅱ组和Ⅲ组(P0.05),血清AFP水平低于Ⅱ组(P0.05),血清CA125水平低于Ⅲ组(P0.05)。Ⅱ组与Ⅲ组之间各项指标差异均无统计学意义(P0.05)。息肉组、结直肠癌组CTC数量及血清CEA、CA125、CA19-9、CA72-4水平差异均有统计学意义(P0.05),血清AFP、CA15-3水平各组间差异均无统计学意义(P0.05)。结直肠癌TNM分期0~Ⅱ期组与Ⅳ期组之间、Ⅲ期组与Ⅳ期组之间CA19-9和CA724水平差异均有统计学意义(P0.05);0~Ⅱ期组与Ⅳ期组CTC差异有统计学意义(P0.05);3组之间血清CEA、AFP、CA125、CA15-3水平差异均无统计学意义(P0.05)。Logistic回归分析结果显示,CEA、CA125、CTC是结直肠癌发生的危险因素[比值比(OR)值分别为1.368、1.135、5560619.101,95%可信区间(CI)分别为1.120~1.672、1.037~1.244、0.000~2.129×10214]。ROC曲线分析结果显示,CEA、CA125、CTC单项及联合检测鉴别诊断结直肠癌的曲线下面积(AUC)分别为0.840、0.741、0.822、0.943。结论联合检测CTC、CEA、CA125在结直肠癌中有较大的临床价值。 相似文献
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目的比较不同早期消化道恶性肿瘤的血清肿瘤标志物癌胚抗原(CEA)、糖类抗原19-9(CA19-9)和糖类抗原72-4(CA72-4)的表达差异。方法采用电化学发光免疫法测定56例早期食管癌患者、91例早期胃癌患者和100例早期结直肠癌患者血清CEA、CA19-9和CA72-4的水平,比较其阳性率和表达水平。结果血清CEA在食管癌、胃癌、结直肠癌中的阳性率依次为16.1%、17.6%、37.0%,差异有统计学意义(P 0.01);血清CA19-9在食管癌、胃癌、结直肠癌中的阳性率依次为3.6%、13.2%和14.0%,差异无统计学意义(P0.05);血清CA72-4在食管癌、胃癌、结直肠癌中的阳性率依次为3.6%、23.1%、20.0%,差异有统计学意义(P 0.05)。结直肠癌患者CEA水平最高,食管癌患者次之,胃癌患者最低,差异有统计学意义(P 0.01);结直肠癌患者CA19-9水平最高,胃癌患者次之,食管癌患者最低,差异有统计学意义(P 0.01);结直肠癌患者CA72-4水平最高,胃癌患者次之,食管癌患者最低,差异有统计学意义(P 0.05)。结论 CEA、CA19-9、CA72-4这3种肿瘤标志物在食管癌、胃癌和结直肠癌中的阳性率和表达水平均存在差异,对于肿瘤诊断具有一定的价值。 相似文献
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《检验医学与临床》2018,(24)
目的探讨围术期癌胚抗原(CEA)及糖类抗原19-9(CA19-9)检测水平对结直肠癌的术前分期及术后预后的价值。方法回顾性分析该院2013年1月至2014年6月收治的病理检查结果为结直肠腺癌的患者275例的临床资料,包括术前和术后血清CEA和CA19-9水平及临床病理检查资料和预后情况。结果术前血清CEA和CA19-9水平与肿瘤TNM分期、淋巴结转移、浸润深度相关。术前及术后CEA水平与患者3年无进展生存期、总生存期相关。结论术前CEA及CA19-9可辅助诊断结直肠癌,血清CEA水平对结直肠癌患者的预后有一定预测价值,且对病理分期有一定参考价值。 相似文献
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目的 评价血清肿瘤标记物联合检测对结直肠癌诊断和随访的价值.方法 采用电化学发光分析法测定 122例结直肠癌患者和82例结直肠良性疾病患者及160例健康者肿瘤标志物CA19-9、CEA、CA242、CA125、CA153的水平.结果 肿瘤组的肿瘤标志物水平显著高于良性疾病组及健康组(P<0.01).结论 上述五种肿瘤标记物对结直肠癌的诊断和随访监测肿瘤复发、转移有一定的价值. 相似文献
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S Emelianova P Mazzotta A Einarson G Koren 《Clinical and investigative medicine. Médecine clinique et experimentale》1999,22(3):106-110
OBJECTIVE: Although nausea and vomiting of pregnancy is the most common medical condition during pregnancy, there are many unanswered questions regarding its cause, epidemiologic features and optimal management. The objectives of this study were to ascertain the prevalence of nausea and vomiting in a sample of Canadian women, to characterize the distribution of their severity and to investigate the role of vitamin B6 deficiency in their etiology. DESIGN: Prospective study. SETTING: Antenatal counselling service for pregnant women. PATIENTS: Three cohorts of women: a prospective, population-based cohort of 193 women, to estimate the rate and severity of nausea and vomiting (cohort A); a cohort of 555 women who sought advice for nausea with or without vomiting, to study the correlation between the maximal daily number of episodes of vomiting and maximal weight loss (cohort B); and a prospective cohort of 301 women who reported vomiting, to correlate vitamin supplementation with vomiting (cohort C). INTERVENTIONS: All 3 cohorts were interviewed during the counselling session, and cohort B was followed up prospectively. OUTCOME MEASURES: Frequency of nausea and vomiting, weight loss, maximal number of daily episodes of vomiting, rate of multivitamin supplementation. RESULTS: Overall, 67% of the women in cohort A reported experiencing nausea or vomiting, or both; 22% reported vomiting, and 9% experienced weight loss. In cohort B there was a significant correlation between the maximal number of daily episodes of vomiting and maximal weight loss, although there was wide variation (r2 = 0.25, p < 0.001). There was a highly significant correlation between the number of daily vomiting episodes and mean weight loss (r2 = 0.99). In cohort C, vomiting was significantly associated with lack of supplementation with multivitamins before 6 weeks' gestation (p = 0.002). CONCLUSIONS: The relation between number of daily vomiting episodes and mean weight loss may serve as a clinical tool to assess the severity of nausea and vomiting in pregnancy and the success of anti-emetics and rehydration regimens. Further study is needed to elucidate the biologic basis of the observed association between vomiting and lack of multivitamin supplementation in early pregnancy. 相似文献
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心血管疾病是我国的多发病和人群的主要死亡原因之一,而高血压已成为中老年人的常见病,是冠心病、脑卒中最主要的危险因素,已成为世界性公共卫生问题。随着我国经济的发展及人们生活水平的日益提高,我国在1958年、1979年、1991年分别进行了全国性的高血压普查,结果表明,我国高血压患病率在持续上升,且上升速度逐年加快。由于文化程度、生活习惯以及信息来源不足的差异也是导致城居民高血压患病率持续上升的重要原因,因此指导城乡居民进行合理的饮食,对预防高血压的发生、发展有着重要的意义。 相似文献
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Harold S. Zamansky Roger F. Brightbill 《The International journal of clinical and experimental hypnosis》2013,61(4):279-290
A form of the Semantic Differential, containing 9 concepts related to hypnosis and research, was administered to 96 hypnotically inexperienced male Ss. The Ss were later asked to volunteer for a hypnotic experiment, and the hypnotic susceptibility of all volunteers (N = 51) was then determined. Semantic Differential responses of volunteers and nonvolunteers and of highly susceptible and unhyp-notizable Ss were compared. Differences between groups, in both comparisons, were generally not statistically significant, a finding which suggests that there is no simple relationship between paper-and-pencil measures of attitudes and volunteering for hypnotic experiments or hypnotizability. 相似文献
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