核素骨显像联合肿瘤标志物检测在肺癌骨转移诊断中的价值 |
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引用本文: | 段玉龙,;解洪泉,;范向辉,;赵诚,;丁朝鹏. 核素骨显像联合肿瘤标志物检测在肺癌骨转移诊断中的价值[J]. 中原医刊, 2009, 0(22): 22-23 |
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作者姓名: | 段玉龙, 解洪泉, 范向辉, 赵诚, 丁朝鹏 |
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作者单位: | [1]河南省平顶山市第二人民医院肿瘤科,467000; [2]河南省平顶山市第二人民医院核医学科,467000; [3]河南省平顶山市第二人民医院心内科,467000; [4]河南省平顶山市第二人民医院影像中心,467000 |
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摘 要: | 目的探讨放射性核素骨显像(ECT)与肿瘤标志物CEA、NSE和CYFRA21-1检测在肺癌骨转移诊断中的价值。方法对263例肺癌患者进行单光子发射计算机断层仪(SPECT)全身骨显像的同时,采用罗氏电化学发光免疫系统检测其血清CEA、CYFRA21—1、NSE肿瘤标志物水平。结果ECT联合CEA+NSE+CYFRA21—1检测和ECT诊断肺癌骨转移的敏感性、特异性、准确性分别为88.9%(152/171)和65.5%(112/171)、96.7%(89/92)和87.0%(80/92)、91.6%(241/263)和73.0%(192/263),ECT联合CEA+NSE+CYFRA21—1检测优于单独SPECT检查(P〈0.01)。结论核素骨显像与肿瘤标志物联合检测在肺癌骨转移诊断中有较高,临床价值。
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关 键 词: | 肺癌 肿瘤标志物 诊断 |
Evaluation of tumor marker and ECT in diagnosis of bone metastasis in lung cancer |
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Affiliation: | DUAN Yu-long , XIE Hong-quan, FAN Xiang-hui, ZHAO Cheng, DING Chao-peng (Department of Oncology, the Second People Hospital of Pingdingshan, Pingdingshan 467000, China) |
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Abstract: | Objective To evaluate the value of tumor markers ( CEA NSE CYFRA 21 - 1 ) and ECT in diagnosis of bone metastasis in lung cancer. Methods Two hundred and sixty - three patients with lung cancer were examined by radionuelied bone imaging and serum CEA,NSE and CYFRA 21 - 1 in the sermn by ELECSYS 2010. Results The sensitivity, differential, veracity of tumor nmrkers ( CEA, NSE, CYFRA 21 - 1 ) and ECT were 88.9% ( 152/171 ), 96.7% ( 89/ 92 ) ,91.6% ( 241/263 ), and it was 65.5% ( 112/171 ) , 87.0% ( 80/92 ) ,73.0% ( 192/263 ) of SPECT, It had significant difference (P 〈 0.01 ) between tumor markers (CEA,NSE,CYFRA21 - 1 ) and ECT vs SPECT. Conclusions ECT and tumor markers has an important value in diagnosis of bone metastasis in lung cancer. |
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Keywords: | Lung cancer Tumor marker Diagnosis |
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