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人附睾上皮分泌蛋白4联合糖链抗原125检测对卵巢癌诊断价值的初步探讨
引用本文:胡晓婷,刘琳娟,高建笺,张青云. 人附睾上皮分泌蛋白4联合糖链抗原125检测对卵巢癌诊断价值的初步探讨[J]. 中国全科医学, 2011, 14(21)
作者姓名:胡晓婷  刘琳娟  高建笺  张青云
作者单位:北京大学临床肿瘤学院暨北京肿瘤防治研究所,北京肿瘤医院检验科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京市,100142
摘    要:
目的 探讨人附睾上皮分泌蛋白4(HE4)对卵巢癌的诊断价值,及其与糖链抗原125(CA125)联合检测对其诊断价值的比较.方法 用ELISA试剂盒检测58例卵巢癌患者、41例其他妇科肿瘤患者和41例健康女性血清中的HE4和CA125水平.结果 卵巢癌患者组的HE4水平明显高于妇科其他肿瘤组和健康对照组,差异具有统计学意义(P<0.05);单独检测HE4的ROC曲线下面积为91.4%,灵敏性和特异性分别为75.0%和97.5%;单独检测CA125的ROC曲线下面积为77.3%,灵敏性和特异性分别为71.2%和77.5%;二者联合检测时ROC曲线下面积为92.5%,灵敏性和特异性分别为78.8%和97.5%.结论 HE4的灵敏性和特异性均优于CA125,二者联合检测特异性无明显改变,但提高了检测的灵敏性,HE4对卵巢癌的诊断价值优于单独CA125检测.

关 键 词:卵巢肿瘤  人附睾上皮分泌蛋白4  糖链抗原CA125

Values of Human Sapiens Epididymis Specific Protein4 Combined with Carbohydrate Antigen125 in Diagnosis of Human Ovarian Cancer
HU Xiao-ting,LIU Lin-juan,GAO Jian-jian,et al.. Values of Human Sapiens Epididymis Specific Protein4 Combined with Carbohydrate Antigen125 in Diagnosis of Human Ovarian Cancer[J]. Chinese General Practice, 2011, 14(21)
Authors:HU Xiao-ting  LIU Lin-juan  GAO Jian-jian  et al.
Affiliation:HU Xiao-ting,LIU Lin-juan,GAO Jian-jian,et al.Clinical Laboratory,Peking University Cancer Hospital & Institute,Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education),Beijing 100142,China
Abstract:
Objective To explore the diagnostic value of human epididymis protein 4(HE4) in ovarian cancer and to compare it with carbohydrate antigen125(CA125).Methods Serum levels of HE4 and CA125 in 58 cases of ovarian carcinoma,41 cases of other gynecological carcinoma,and 41 cases of healthy controls were detected using ELISA method.Results Serum levels of HE4 among the ovarian cancer patients are significantly higher than those of the patients with other gynecological carcinomas and those of healthy controls(P<0....
Keywords:Ovarian neoplasma  Human epididymis protein  CA125  
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