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血清游离/总前列腺特异性抗原比值在前列腺癌诊断中的应用
引用本文:张国元,唐中,邓健康,周祖寅,廖涛,郭晓兰. 血清游离/总前列腺特异性抗原比值在前列腺癌诊断中的应用[J]. 医学理论与实践, 2001, 14(8): 713-714
作者姓名:张国元  唐中  邓健康  周祖寅  廖涛  郭晓兰
作者单位:川北医学院附院检验科四川省南充市 637000
摘    要:目的:探讨血清游离态PSA(F-PSA)和总PSA(T-PSA)及游离态/总(F/T)PSA比值作为前列腺疾病诊断指标的价值。方法:采用Abbott公司AxSYM化学发光免疫分析仪自动检测未经治疗的84例前列腺增生(BPH)病人和29例前列腺癌病人血清F-PSA和T-PSA,并计算F/T比值。结果:F/T百分率值在前列腺癌组中明显低于前列腺增生组(P<0.001)。若总PSA限定于4~10μg/L范围内,应用F/T百分率值可区别前列腺癌与前列腺增生(P<0.01),而两组总PSA差异无显著意义(P>0.05)。结论:F/T百分率值可用于区别前列腺癌与前列腺增生;总PSA在4~10μg/L范围时,应用F/T百分率值较总PSA为佳。

关 键 词:前列腺特异抗原  前列腺肿瘤  诊断
修稿时间:2001-03-25

Role of the Percentage of Serum Free to Total Prostate Specific Antigen in Diagnosis of Prostate Cancer
ZHANG Guoyuan,TANG Zhong,DENG Jiankang,LIAO Tao,GUO Xiaolan. Role of the Percentage of Serum Free to Total Prostate Specific Antigen in Diagnosis of Prostate Cancer[J]. The Journal of Medical Theory and Practice, 2001, 14(8): 713-714
Authors:ZHANG Guoyuan  TANG Zhong  DENG Jiankang  LIAO Tao  GUO Xiaolan
Affiliation:ZHANG Guoyuan,TANG Zhong,DENG Jiankang,LIAO Tao,GUO Xiaolan Department of Clinical Laboratory Science,The Hospital Affiliated to North Sichuan Medical College,Nanchong 637000
Abstract:Objective: To evaluate serum free-PSA(F-PSA) ,total-PSA(T-PSA) and free/total (F/T) ratio as an indicator for diagnosis of prostate diseases.Method:Serum samples obtained from 84 men with untreated BPH and 29 men with prostate cancer (PC) were measured on the AxSYM with MEIA and the ratio of F/T was studied. Results:The percentages of F/T in group with PC were lower than those of BPH clearly (P< 0.001). If T-PSA is limited to 4 -10μg/L, the ratio of F/T PSA can differentiate PC from BPH(P< 0.01), while their T-PSA show no differences (P< 0.05) .Conclusion: The ratio of F/T can be used in differentiating PC from BPH, and when T-PSA levels is within between 4 ~ 10μg/L, the former is better.
Keywords:Prostate specific antigen   Prostate neoplasms   Diagnosis
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