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NSCLC患者外周血骨桥蛋白检测的意义
引用本文:李志英,朱应群,廖敏,宫岚. NSCLC患者外周血骨桥蛋白检测的意义[J]. 陕西肿瘤医学, 2014, 0(2): 303-305
作者姓名:李志英  朱应群  廖敏  宫岚
作者单位:长沙市第三医院,湖南长沙410015
摘    要:
目的:探讨外周血骨桥蛋白(OPN)作为非小细胞肺癌患者(NSCLC)肿瘤标志物检测的临床意义。方法:应用酶联免疫吸附试验(ELISA)和放射免疫分析技术(RIA)检测50例NSCLC患者、15例肺部良性病变患者和15例健康正常志愿者外周血OPN和CEA的浓度。结果:NSCLC患者外周血OPN和CEA检测的敏感性分别为7800%和6200%,特异性分别为8667%和9333%,联合检测的敏感性为90.00%。OPN水平与NSCLC的临床分期、淋巴结转移有关,但与组织学分型及远处转移无关。结论:OPN是NSCLC患者的一种较为理想的肿瘤标志物,与CEA联合检测能提高NSCLC诊断的敏感性。

关 键 词:非小细胞肺癌  骨桥蛋白  癌胚抗原  肿瘤标志物

Clinical significance of osteopontin level in peripheral blood of patients with non - small cell lung cancer
Affiliation:Li Zhiying,Zhu Yingqun, Liao Min, Guan Lan (The Third Hospital of Changsha,Hunan Changsha 410015, China.)
Abstract:
Objectlve:To investigate the clinical significance of osteopontin (OPN) as a tumor marker in peripheral blood of patients with non - small cell lung cancer. Methods:Plasma levels of OPN and CEA in 50 eases with non - small cell lung cancers, 15 benign lung diseases and 15 healthy controls were detected by ELISA and RIA methods. Results:The sensitivity of OPN and CEA in patients with cancer was 78.00% and 62.00% , and the specificity of OPN and CEA was 86.67% and 93.33% ,respectively. The sensitivity of coinbined with two inarkers detection was 90.00%. Plamsm levels of OPN were correlated with clinical stage ,lymph node inetastasis, but not correlated with histological type and distant lnetastasis. Conclusion: OPN is a potential tumor lnarker, it eolnbined with CEA can improve the sensitivity of diagnosis in non - small cell lung cancer.
Keywords:non - small cell lung cancer  osteopontin  eareinoembryonie antigen  tumor marker
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