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子宫内膜癌患者血清中HE4、YKL-40的表达及临床意义
引用本文:张雪玉,杨彩虹,吕娟. 子宫内膜癌患者血清中HE4、YKL-40的表达及临床意义[J]. 现代妇产科进展, 2011, 20(5): 377-380
作者姓名:张雪玉  杨彩虹  吕娟
作者单位:宁夏医科大学附属医院妇科,银川,750004
基金项目:2010年宁夏科技攻关项目
摘    要:目的:探讨血清人附睾蛋白4(HE4)、甲壳质酶蛋白40(YKL-40)在子宫内膜癌的表达及临床意义。方法:用酶联免疫吸附试验检测健康妇女、子宫内膜增生及子宫内膜癌患者血清中HE4、YKL-40的水平。结果:(1)健康妇女、子宫内膜增生患者及子宫内膜癌患者术前血清中HE4表达中位数分别为15.75、30.12、105.67pmol/L;YKL-40的表达中位数分别为39.6、42.8、100.5μg/L;子宫内膜癌组HE4、YKL-40的表达水平均高于前两组,差异有统计学意义(P<0.05),前两组的差异无统计学意义;子宫内膜癌患者术后血清中HE4、YKL-40中位数分别为23.52pmol/L、30.9μg/L,明显低于术前(P<0.05);(2)子宫内膜癌患者术前血清HE4浓度、YKL-40浓度与FIGO分期呈正相关关系。结论:子宫内膜癌血清HE4、YKL-40水平升高,可作为子宫内膜癌血清学标记物,是子宫内膜癌的早期辅助诊断、疗效评估、随访检测的客观指标,可用于指导临床的综合治疗。

关 键 词:子宫内膜癌  人附睾蛋白4  甲壳质酶蛋白40

Expressions and significance of serum HE4 and YKL-40 in patients with endometrial cancer
Zhang Xueyu,Yang Caihong,Lü Juan. Expressions and significance of serum HE4 and YKL-40 in patients with endometrial cancer[J]. Current Advances In Obstetrics and Gynecology, 2011, 20(5): 377-380
Authors:Zhang Xueyu  Yang Caihong  Lü Juan
Affiliation:Zhang Xueyu,Yang Caihong,Lü Juan.Department of Gynecology,Affiliated Hospital of Ningxia Medical University,Shengli Street 804,Yinchuan 750004
Abstract:Objective:To explore the expressions and significance of serum human epididymis protein 4(HE4),YKL-40 in patients with endometrial cancer.Methods:The enzyme-linked immuno-sorbent assay(ELISA)technique was applied to detect serum HE4 and YKL-40 levels in healthy women and patients with endometrial hyperplasia,and endometrial cancer.Results:(1)In healthy women,patients with endometrial hyperplasia,preoperative endometrial cancer,the serum HE4 median levels were 15.75,30.12,105.67pmol/L respectively.The serum ...
Keywords:Endometrial carcinoma  YKL-40  HE4  
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