左强, 李爱民, 缪景霞, 蔡红兵, 卢惠芳, 罗荣城. 多种肿瘤标志物蛋白芯片检测系统对消化道肿瘤的诊断价值[J]. 中国肿瘤临床, 2004, 31(6): 337-339.
引用本文: 左强, 李爱民, 缪景霞, 蔡红兵, 卢惠芳, 罗荣城. 多种肿瘤标志物蛋白芯片检测系统对消化道肿瘤的诊断价值[J]. 中国肿瘤临床, 2004, 31(6): 337-339.
Zuo Qiang, Li Ai-min, Miao Jing-xia, . Diagnostic Value of Multi-tumor Markers Protein Biochip Detective System for Digestive Tract Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(6): 337-339.
Citation: Zuo Qiang, Li Ai-min, Miao Jing-xia, . Diagnostic Value of Multi-tumor Markers Protein Biochip Detective System for Digestive Tract Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(6): 337-339.

多种肿瘤标志物蛋白芯片检测系统对消化道肿瘤的诊断价值

Diagnostic Value of Multi-tumor Markers Protein Biochip Detective System for Digestive Tract Cancer

  • 摘要: 目的:探讨多种肿瘤标志物蛋白芯片检测系统对消化道肿瘤的诊断价值。方法:用该检测系统测定分析113例消化道恶性肿瘤患者,48例消化道良性疾病患者和145例健康对照者血清中12种常见肿瘤标志物(CA199、NSE、CEA、CA242、CA125、CA153、AFP、ferrtin、free-PSA、PSA、β-HCG及HGH)的水平。结果:消化道恶性肿瘤组的阳性率为78.76%,显著高于良性疾病组(45.83%)和健康对照组(28.97%)(P<0.05)。除胰腺癌之外,联合检测对食管癌、胃癌及结直肠癌的阳性率均显著高于单一标志物检测(P<0.05)。联合检测对临床Ⅰ、Ⅱ期消化道恶性肿瘤的阳性率为50.00%。结论:多种肿瘤标志物蛋白芯片检测系统可以显著提高消化道恶性肿瘤诊断的敏感性。由于该法特异性及阳性预测值偏低,所以更适合无明显症状的门诊患者和消化道恶性肿瘤高危人群的筛查。

     

    Abstract: Objective : To evaluate the diagnostic values of multi -tumor markers protein biochip detective system for digestive tract cancer. Methods : The serum levels of 12 common tumor markers, including CA199, NSE, CEA,CA242, CA125,CA153, AFP, ferrtin, free-PSA, PSA,β-HCG and HGH,were measured with the detective system in 113 digestive tract cancer patients, 48 patients with benign digestive disease and 145 healthy examinations. Results : The positive rates were 78.76%, 45.83% and 28.97% in digestive tract cancer, benign digestive disease and healthy groups, respectively. The digestive tract cancer group had significantly higher positive rate than that of the controls (P<0.05).Except for pancreatic cancer, combined measurement had higher positive rates for esophageal cancer,gastric carcinoma and colonic cancer than single tumor marker (P<0.05), and its sensitivity for staging I and n digestive tract cancer was 50.00%. Conclusion : Multi-tumor markers protein biochip detective system can significantly increase the diagnostic sensitivity for digestive tract cancer. As its specificity and positive predictive value were lower, it was more suitable to be used as an surveying tool to symptomless people, especially to high risk people.

     

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