HBV患者血清YKL-40、CA19-9、GP73水平与其病情相关性

目的 分析HBV患者YKL-40、CA19-9、GP73水平差异及与患者病情轻重程度的相关性,探讨HBV患者病情的判定指标。方法 选取2015年5月—2018年5月收治的100例HBV患者,其中慢性HBV感染组40例、慢性乙型肝炎组36例、HBV相关肝硬化组24例,同期选择我院健康体检的健康者50例作为健康对照组;检测患者血中YKL-40、CA19-9、GP73水平;分析HBV感染患者血清YKL-40、CA19-9、GP73水平与病情轻重程度的相关性。结果 慢性HBV感染、慢性乙型肝炎及HBV相关肝硬化患者血中YKL-40水平分别为（36.38±4.19）ng/mL 、（49.02±4.32）ng/mL、（65.14±5.21）ng/mL ,CA19-9分别为（12.03±1.03）KU/L、（13.84±0.98）KU/L、（16.94±0.81）KU/L,GP73分别为（47.22±5.38）ng/mL 、（98.53±10.24）ng/mL 、（229.85±12.19）ng/mL,均明显高于对照组的（28.19±3.27）ng/mL 、（7.34±0.92）KU/L 、（30.93±3.89）ng/mL,均P=0.000 0。随着慢性HBV感染者、慢性乙型肝炎患者和不同HBV相关肝硬化患者肝脏炎症及纤维化程度加重,患者血中YKL-40、CA19-9和GP73也随之显著增加,均P=0.000 0;YKL-40、CA19-9和GP73均是影响HBV感染患者体内炎症坏死及肝脏纤维化的独立性影响因素,差异有统计学意义（P<0.05）。结论 HBV感染患者血清中YKL-40、CA19-9、GP73水平是HBV感染患者病情轻重程度的独立性影响因素。     

Immunohistochemical Study of Colorectal Polyps with Antibodies against CEA,CA19-9, CA125, CA15-3 (DF3), PCNA and p53

Abstract: We analyzed the expression of CEA, CA19-9, CA125, CA15-3 (DF3), PCNA and p53 immunohistochemically in 14 tissue specimens of mucosal cancers in adenoma, seven tubulovillous adenoma specimens, and 16 tubular adenoma specimens. The rates of positive staining for mucosal cancer in adenoma, tubulovillous adenoma and tubular adenoma specimens, respectively, were: for CEA: 100%, 85.7% and 75%; for CA19-9: 71.4%, 71.4% and 56.2%; for CA125:0%, 0% and 0%;for CA15-3 (DF3): 64.3 %, 0% and 0 %; for PCNA: 100%, 88.9% and 56.2%; and for p53: 35.7%, 0% and 0% . The results suggest that the expressions of CEA, CA19-9, CA15-3 (DF3), PCNA and p53 are related to colorectal tumorigenesis. None of the specimens studied showed staining for CA125, suggesting that CA125 is not involved in the early stages of colorectal carcinogenesis. There was no significant difference in the rates of positive staining for CEA and CA19-9 among mucosal cancer in adenoma, tubular adenoma and tubulovillous adenoma specimens. However, the rates of positive staining for PCNA and p53 were significantly higher in mucosal cancer in adenoma specimens than for tubular adenoma specimens (p<0.05), and the rate of CA15-3 (DF3) positive staining was significantly higher for mucosal cancer in adenoma than for tubulovillous adenoma (p<0.01) and tubular adenoma (p< 0.001) specimens. Therefore, the CA15-3 (DF3) antigen is an immunohistochemical marker for colorectal carcinomas. The present results suggest that CA15-3 (DF3), PCNA and p53 play important roles in the genesis of colorectal adenomas.     

大肠癌手术前后血清CA199和CEA水平变化临床价值的研究

目的:研究大肠癌患者手术前后(包括根治术及姑息手术)血清CA199和CEA水平的变化.并探讨其应用价值。方法:应用全自动化学发光免疫分析法,分别测定临床确诊的50例大肠癌患者(术前和手术30 d后)及50例正常成人血清CA199与CEA含量变化。结果:50例大肠癌患者手术前后血清CA199和CEA检测显示,术前血清CA199和CEA均高于对照组(P<0.01),术后血清CEA较CA199下降快,而且大肠癌患者术前血清CA199和CEA含量较根治术30 d后有明显增加,差异有统计学意义(P<0.05)。而姑息性切除手术前后血清CA199和CEA含量变化不大(P>0.05),差异无统计学意义。结论:大肠癌患者术前血青CA199和CEA含量显著增高.而根治术后血清CA199和CEA均有较明显下降。因此,术后定期联合监测血清CA199和CEA有利于临床观察大肠癌患者病情变化,评价手术效果,预测首程化疗疗效,为判断预后、及早发现术后复发病人提供依据。     

系统性红斑狼疮女性患者血清CA125,CA199化学发光法测定的临床应用

目的 :探讨系统性红斑狼疮 (SLE)女性患者血清肿瘤标志物CA12 5 ,CA199含量变化及临床意义。方法 :用化学发光法测定 30例正常女性和 38例SLE女性患者血清中CA12 5 ,CA199含量。结果 :正常组CA12 5含量为 11.14± 6 .4 8U/ml,CA199含量为 3.75± 2 .89U/ml;SLE组CA12 5 ,CA199分别为 2 2 .5 6± 2 0 .4 6U/ml,9.5 7± 9.34U/ml。SLE患者CA12 5 ,CA199阳性率分别为 2 1.1% ,7.89%。结论 :SLE患者血清CAl2 5 ,CA199含量较正常组增高 (P <0 .0 5 )。CA12 5 ,CA199在SLE女性患者中可出现阳性 ,对临床诊断SLE有一定价值。     

CA-199、CA-50联检对消化道肿瘤的诊断价值评价

目的 :探讨糖类抗原CA -199及CA -5 0联合检测对消化道恶性肿瘤诊断的临床价值。方法 :用化学发光及免疫放射方法检测 5 0例健康者 ,88例消化道良性疾病及 91例消化道恶性肿瘤患者血清中CA -199及CA -5 0的含量。结果 :消化道恶性肿瘤患者血清CA -199、CA -5 0值均明显高于正常健康人及消化道良性疾病 ,两者比较有显著性差异 (P <0 0 1) ,CA -199、CA -5 0两者联合检测较单项检测任何一项其阳性率、准确率均有明显提高。结论 :CA -199、CA -5 0联检可为临床减少漏诊、误诊 ,为早诊早治提供有价值的信息     

血清CA125检测对子宫内膜异位症的临床诊断价值

目的 :探讨血清CA12 5测定对术前子宫内膜异位症的诊断价值。方法 :99例子宫内膜异位症经腹手术前测定CA12 5水平 ,并与 90例作对照比较。结果 :子宫内膜异位症CA12 5阳性率 >3 5U /ml,为 5 7.5 7% ,对照组为 8.88% (P <0 .0 1)。内膜异位囊肿高于卵巢囊肿 (P <0 .0 1) ,子宫腺肌病高于子宫肌瘤 (P <0 .0 5 )。结论 :血清CA12 5测定对子宫内膜异位症有较理想的诊断价值 ,对异位囊肿与卵巢囊肿 ,子宫腺肌病与子宫肌瘤有鉴别意义     

Association analysis of CA repeat polymorphism of the endothelial nitric oxide synthase gene with essential hypertension in Japanese

The nitric oxide synthase (NOS) gene is thought to be associated with essential hypertension (EH), because NO is implicated in endothelium-mediated vasodilation. We investigated the possible association between the alleles of simple tandem repeat DNA polymorphism of the endothelial constitutive NOS (cNOS) gene and EH in Japanese subjects. In all, 100 patients with EH and 123 subjects with normal blood pressure were studied. Polymerase chain reaction was used to amplify the CA repeat site in the endothelial cNOS gene and alleles based on the CA repeat number were determined. The allele frequencies in the hypertensive group and normotensive group were then compared. Twenty-three alleles were identified in this study of Japanese subjects. The overall distributions of allele frequencies in the two groups were not significantly different. However, comparing the allele frequencies in the EH group without left ventricular hypertrophy (LVH) and the normotensive group, the overall distributions were significantly different (p = 0.019). The 33-repeat allele was found more frequently in the EH group without LVH than in the normotensive group (p = 0.000047, Odds ratio = 3.71). In conclusion, the 33-repeat allele of the endothelial cNOS gene is associated with EH without LVH, and may be a genetic marker of EH in Japanese subjects.     

卵巢甲状腺肿并发胸腹水及血清CA125升高1例报告

本文报告1例卵巢甲状腺肿并发胸腹水及血清CA125升高.     

结核性胸水患者治疗前后检测血清CA125的临床价值

CA12 5在卵巢肿瘤诊断中已被广泛应用 ,并被证实对消化系统恶性肿瘤的诊断也有较好的参考价值 ;在胚胎组织发育中也可找到 ,属混合性肿瘤标志物[1 ] 。国外已有文献报道结核性腹膜炎患者血清CA12 5可明显升高[2 ] 。我们对结核性胸水患者血清CA12 5治疗前后水平的变化进行了临床分析。对象与方法1.对象 :3 6例均为我院收住院的结核性胸水患者 ,男性 2 1例 ,女性 15例 ,年龄 2 6～ 82岁 ,平均年龄 5 5岁± 13岁。依据陈灏珠主编的《实用内科学》第 10版的诊断标准确诊 ,并结合临床表现、X线胸片或CT、PPD试验 ,胸水ADA和抗结核治疗有效…