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血清肿瘤标志物对肺癌诊断价值的比较研究
引用本文:南岩东,田应选,杨拴盈,李王平,孙瑞琳,傅恩清,金发光.血清肿瘤标志物对肺癌诊断价值的比较研究[J].第四军医大学学报,2009(21):2397-2399.
作者姓名:南岩东  田应选  杨拴盈  李王平  孙瑞琳  傅恩清  金发光
作者单位:第四军医大学唐都医院呼吸内科;西安交通大学医学院第二附属医院呼吸内科;
基金项目:陕西省卫生厅科技公关项目(08E11)
摘    要:目的:探讨血清肿瘤标志物对肺癌的诊断价值.方法:用电化学发光免疫法检测254例肺癌患者和88例肺良性疾病患者血清中癌胚抗原(CEA)、细胞角质素片断抗原(CYFRA21-1)和神经元特异性烯醇酶(NSE)的水平.结果:肺癌组3种肿瘤标志物水平均明显高于肺良性疾病组(P〈0.01),其中血清CEA对肺癌的诊断能力最大.这3种血清肿瘤标志物在肺癌的不同病理类型、临床分期及分化程度之间均有不同程度的差异.联合检测时,诊断灵敏度、特异度、正确率和约登指数(YI)可显著提高.结论:3种血清肿瘤标志物单个检测对肺癌的诊断价值有限,联合检测可显著提高肺癌的诊断正确率.

关 键 词:肺肿瘤  肿瘤标志物  血清  诊断价值

Comparative study of diagnostic value of serum tumor markers for lung cancer
NAN Yan-Dong,TIAN Ying-Xuan,YANG Shuan-Ying,LI Wang-Ping,SUN Rui-Lin,FU En-Qing,JIN Fa-Guang.Comparative study of diagnostic value of serum tumor markers for lung cancer[J].Journal of the Fourth Military Medical University,2009(21):2397-2399.
Authors:NAN Yan-Dong  TIAN Ying-Xuan  YANG Shuan-Ying  LI Wang-Ping  SUN Rui-Lin  FU En-Qing  JIN Fa-Guang
Institution:NAN Yan-Dong1,TIAN Ying-Xuan2,YANG Shuan-Ying2,LI Wang-Ping1,SUN Rui-Lin1,FU En-Qing1,JIN Fa-Guang11Department of Respiratory Disease,Tangdu Hospital,Fourth Military Medical University,Xi'an 710038,China,2Department of Respiratory Medicine,Second Affiliated Hospital of Medical School,Xi'an Jiaotong University,Xi'an 710004
Abstract:AIM:To explore diagnostic value of serum tumor markers for lung cancer. METHODS:The value of three kinds of serum tumor markers,including carcino-embryonic antigen (CEA),cytokeratin fragment antiogen 21-1 (CYFRA21-1) and neurone specific enolase (NSE),was detected in 254 patients with lung cancer and 88 patients with benign lung disease using electrochemiluminescence immunoassay (ECLIA). RESULTS:The level of the three kinds of serum tumor markers in lung cancer group were obviously higher than that in lung ...
Keywords:lung cancer  tumor marker  serum  diagnostic value  
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