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电化学发光免疫分析技术联合检测CYFRA21-1和癌胚抗原对肺癌的诊断意义
引用本文:张忠英,林永志,高惠川,李萍. 电化学发光免疫分析技术联合检测CYFRA21-1和癌胚抗原对肺癌的诊断意义[J]. 福建医科大学学报, 2001, 35(2): 169-170,183
作者姓名:张忠英  林永志  高惠川  李萍
作者单位:1. 厦门市中山医院,中心实验室
2. 厦门市中山医院,外科
3. 厦门市中山医院,干部病房
摘    要:目的 探讨细胞角蛋白 19片段 (CYFRA2 1- 1)和癌胚抗原 (CEA )在肺癌诊断方面的价值。 方法 运用电化学发光免疫分析 (ECL IA)技术测定 39例肺癌、36例肺炎和 70例健康人血清 CYFRA 2 1- 1和 CEA水平。 结果 血清 CYFRA2 1- 1和 CEA对肺癌的敏感性分别为 79.5 %和 5 3.9% ,两者联合检测敏感性 84.6 %。 结论 作为肺癌的辅助诊断指标 ,CYFRA2 1- 1优于 CEA;CYFRA 2 1- 1和 CEA联合检测 ,能提高对肺癌诊断的敏感性 ,适用于肺癌的筛查。

关 键 词:细胞角蛋白19片段  电化学  免疫测定  癌胚抗原  肺肿瘤  角蛋白
文章编号:1000-2235(2001)02-0169-03
修稿时间:2001-01-16

CYFRA21-1 and CEA in the Diagnosis of Lung Carcinoma
ZHANG Zhong-ying+,GAO Hui-chuan+,LIN Yong-zhi+,et al. CYFRA21-1 and CEA in the Diagnosis of Lung Carcinoma[J]. Journal of Fujian Medical University, 2001, 35(2): 169-170,183
Authors:ZHANG Zhong-ying+  GAO Hui-chuan+  LIN Yong-zhi+  et al
Affiliation:ZHANG Zhong-ying+1,GAO Hui-chuan+2,LIN Yong-zhi+1,et al
Abstract:Objective To investigate electrochemoluminescence immunoassay(ECLIA) of serum cytokeratin fragment 19(CYFRA21|1) and carcinoembryonic antigen(CEA) in the diagnosis of lung carcinoma. Methods Serum CYFRA21|1 and CEA level were investigated by ECLIA in 70 healthy subjects and 79 patients, including 39 with lung carcinoma, 4 with benign lung space|occupying lesion and 36 with pneumonia. Results The positive rates of CYFRA21|1 and CEA in patients suffered from lung cancer were 79 5% and 53 9%, respectively. In lung cancer, the diagnosis sensitivity of conbining CYFRA21|1 with CEA detection was elevated to 84 6%. Conclusion As a parameter for diagnosis of lung carcinoma, serum CYFRA21|1 level is better than that of CEA; the highest diagnosis sensitivity is found by both CYFRA21|1 and CEA detection.
Keywords:cytokeratin fragment 19  electrochemistry  immunoassay  carcinoembryonic antigen  lung carcinoma  keratin
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