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~(99m)Tc-MIBI肺亲肿瘤显像与肿瘤标志物联合诊断肺部结节良恶性的临床价值
引用本文:刘超,马世兴,朱家伦,刘鹏杰,贾莉,王永斌.~(99m)Tc-MIBI肺亲肿瘤显像与肿瘤标志物联合诊断肺部结节良恶性的临床价值[J].临床医学,2010,30(10).
作者姓名:刘超  马世兴  朱家伦  刘鹏杰  贾莉  王永斌
作者单位:昆明医学院第三附属医院,云南省肿瘤医院核医学科,昆明,650118
摘    要:目的探讨99mTc-MIBI肺亲肿瘤显像与肿瘤标志物联合诊断肺部结节良、恶性的临床价值。方法对54例CT发现肺部结节的患者行99mTc-MIBI肺亲肿瘤显像与肿瘤标志物测定(包括NSE、CYFRA21-1,采用放射免疫法测定),分别计算出以上2种方法以及联合应用在诊断肺部结节中的灵敏度、特异性、准确性,通过统计学方法将联合应用后的结果分别与单一方法进行比较分析。结果①两种方法联合使用与单用99mTc-MIBI肺亲肿瘤显像相比,灵敏度、特异性、准确性均提高(P0.05)。②两种方法联合使用与单用肿瘤标志物相比,灵敏度、准确性均提高(P0.05),而特异性比较差异无统计学意义。结论 99mTc-MIBI肺亲肿瘤显像与肿瘤标志物测定两种方法联合使用在肺部结节良、恶性鉴别诊断中的价值要高于单一应用。

关 键 词:肿瘤标志物  肺部结节

The lung tumor imaging of ~(99m)Tc-MIBI combined with tumor markers in diagnosing pulmonary nodules
LIU Chao,MA Shixing,ZHU Jialun,LIU Pengjie,JIA Li,WANG Yongbin.The lung tumor imaging of ~(99m)Tc-MIBI combined with tumor markers in diagnosing pulmonary nodules[J].Clinical Medicine,2010,30(10).
Authors:LIU Chao  MA Shixing  ZHU Jialun  LIU Pengjie  JIA Li  WANG Yongbin
Institution:LIU Chao,MA Shixing,ZHU Jialun,LIU Pengjie,JIA Li,WANG Yongbin.Department of Nuclear Medicine,the Third Affiliated Hospital of Kunming Medical College,the Tumor Hospital of Yunnan,Kunming 650118,China
Abstract:Objective To discuss the clinical value of 99mTc-MIBI lung tumor-imaging combined with tumor markers to detect benign and malignant pulmonary nodules.Methods Fifty-four patients who were detected pulmonary nodules by the X-ray computed tomography were researched,and all of them underwent the lung tumor imaging of 99mTc-MIBI,the detection of serum tumor markers(include NSE and CYFRA211,detected by RIA),calculated separately the sensitivity,specificity and accuracy,then combined two methods to diagnose the pu...
Keywords:99mTc-MIBI
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