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联合检测前列腺相关特异抗原在良恶性前列腺增生中的应用
引用本文:薛冰,闫慧.联合检测前列腺相关特异抗原在良恶性前列腺增生中的应用[J].检验医学与临床,2010,7(1):13-14.
作者姓名:薛冰  闫慧
作者单位:新疆医科大学第五附属医院检验科,乌鲁木齐,830011
摘    要:目的探讨血清总前列腺特异抗原(TPSA)、游离前列腺特异抗原(FPSA)和游离与总前列腺特异抗原比值(F/T)对前列腺癌(PCa)和良性前列腺增生(BPH)的诊断和鉴别诊断价值。方法使用ROCHE2010电化学发光免疫分析仪检测经临床确诊的42例PCa和88例BPH患者和52例健康者血清TPSA、FPSA含量并计算F/T。结果PCa组和BPH组与52例健康者的TPSA、FPSA及F/T相比差异有统计学意义(P0.05),但有16例PCa和41例BPH患者位于诊断灰区(TPSA4~10 ng/mL),此时PCa组和BPH组患者的TPSA、FPSA值差异无统计学意义(P0.05),但F/T差异有统计学意义(P0.05)。结论对于TPSA值在诊断灰区内的良、恶性增生性疾病患者,F/T因其较高的敏感性和特异性更有助于PCa与BPH的鉴别诊断。

关 键 词:前列腺特异抗原  前列腺肿瘤  前列腺增生  电化学  发光测定法  鉴别诊断

Application of combined detection of prostate specific antigen in benign and malignant prostate hyperplasia
XUE Bing,YAN Hui.Application of combined detection of prostate specific antigen in benign and malignant prostate hyperplasia[J].Laboratory Medicine and Clinic,2010,7(1):13-14.
Authors:XUE Bing  YAN Hui
Institution:XUE Bing,YAN Hui.Department of Laboratory,Fifth Affiliated Hospital of Xinjiang Medical University,Wulumuqi 830011,China
Abstract:Objective To study the clinical value of total prostate spectific antigen(TPSA),free prostate specific antigen(FPSA),and the ratio of free to total prostate specific antigen(F/T) in differential diagnosis between prostate cancer(PCa) and benign prostate hyperplasia(BPH).Methods With method of electrochemiluminoimmunoassay(ECL),TPSA and FPSA were measured in 42 cases of PCa and 88 cases of BPH and in 52 cases of healthy person group,and F/T is calculated.Results In all patients,TPSA,FPSA and F/T were all sig...
Keywords:prostate-spectific antigen  prostatic neoplasms  prostatic hyperplasia  electrochemistry  lurninescent measurement  diagnosis  differential  
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