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大肠癌患者血清CA242、CA19蛳9和CEA水平测定的临床意义 被引量:19

THE CLINICAL SIGNIFICANCE FOR THE MEASUREMENT OF CA242,CA19-9 AND CEA LEVEL IN SERUM OF PATIENTS WITH LARGE INTESTINE CARCINOMA
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摘要 目的:评价CA242、CA19蛳9和CEA在大肠癌诊断中的意义。方法:采用酶联免疫和放射免疫法分别检测40例健康人、42例炎性肠病患者和74例大肠癌患者CA242、CA19蛳9和CEA的含量。结果:大肠癌患者CA242、CA19蛳9和CEA抗原表达均分别高于健康人和炎性肠病患者,具有显著性差异。其中CA242特异性最好,为89.42%。在大肠癌患者中CA19蛳9检出率最高,为83.78%。CA242、CA19蛳9分别在结肠癌和直肠癌中的表达水平不同,其差异具有显著性意义。结论:血清CA242、CA19蛳9和CEA的联合检测有利于大肠癌的早期诊断,也可作为大肠癌治疗药物疗效评价的重要依据。 objective: To evaluate the clinical significance for the measurement of CA242/CA19-9 and CEA level in diagnosing large intestine carcinoma. Methods: CA242,CA19-9 and CEA levels in the serum of 40 cases of healthy people, 42 cases of inflammatory intestine and 74 cases of large intestine carcinoma were measured by enzyme linked immunosorbent assay and radioimmunoassay method, respectively. Results: The results showed that CA242,CA19-9 and CEA levels in patients with large intestine carcinoma were all higher than the levels in healthy people and patients with inflammatory intestine, respectively, and the differences between patients with large intestine carcinoma and healthy people and patients with inflammatory intestine were of obvious significance, and CA242 in serum of 89.42 % of patients with large intestine carcinoma were positive and it's specificity was best among the three groups. In serum of patients with large intestine carcinoma, the positive ratio(83.78 %) of CA19-9 was the highest. The levels of expression of CA242 and CA19-9 in carcinoma of colon and rectal carcinoma were with significant differences. Conclusion: The results of measurement of CA242, CA19-9 and CEA contributed to early diagnosis of large intestine carcinoma and could be regarded as important basis of evaluation of the drugs to treat large intestine carcinoma.
出处 《肿瘤研究与临床》 CAS 2004年第4期227-229,共3页 Cancer Research and Clinic
关键词 肿瘤标志物 大肠癌 CA242 CA19-9 CEA Tumor markers Large intestine carcinoma CA242 CA19-9 CEA
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  • 1王平,李玉明.血清CA19-9、CA24-2、CEA联合检测在胰癌诊断中的价值[J].南通医学院学报,1997,17(4):488-489. 被引量:6
  • 2董志伟,乔友林,李连弟,陈育德,王润田,雷通海,饶克勤,王汝宽,赵平,游伟程,鲁凤珠,戴旭东,王国清,罗贤懋,周海城.中国癌症控制策略研究报告[J].中国肿瘤,2002,11(5):250-260. 被引量:350
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