血清CYFRA21-1、CEA、CA125联合检测在非小细胞肺癌中的诊断价值

Value of combined detection of serum CYFRA21-1, CEA and CA125 in diagnosis of non-small cell lung cancer

  • 摘要: 目的 探讨血清癌胚抗原(CEA)、细胞角蛋白19可溶性片段(CYFRA21-1)及糖类抗原125(CA125)联合检测诊断非小细胞肺癌(NSCLC)的价值。 方法 选择45例NSCLC患者纳入观察组,并选择同期40例肺部良性病变患者纳入对照组, 2组患者均检测CEA、CYFRA21-1及CA125水平, 分析单项及联合检测的特异度、灵敏度、准确度。 结果 观察组CEA、CYFRA21-1及CA125水平均高于对照组,差异有统计学意义(P<0.05); 相较于CEA、CYFRA21-1及CA125单项检测,联合检测的阳性检出率更高,差异具有统计学意义(P<0.05); 相较于单项检测,联合检测的特异度、灵敏度、准确度均较高。 结论 应用血清CEA、CYFRA21-1及CA125联合检测对NSCLC具有较高的诊断价值,可为临床诊断、预后判断提供可靠依据。

     

    Abstract: Objective To investigate the value of combined detection of serum carcino-embryonic antigen(CEA), cytokeratin 19 fragment antigen 21-1(CYFRA21-1)and carbohydrate antigen 125(CA125)in non-small cell lung cancer(NSCLC). Methods A total of 45 patients with NSCLC were selected as observation group, and 40 patients with benign pulmonary lesions during the same period were selected as control group. The levels of CEA, CYFRA21-1 and CA125 of all patients were detected. The specificity, sensitivity, accuracy of single and combined detection were analyzed. Results The levels of CEA, CYFRA21-1 and CA125 in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Compared with single detection of CEA, CYFRA21-1 or CA125, the positive detection rate of combined detection was higher, and the difference was statistically significant(P<0.05). The specificity, sensitivity and accuracy of combined detection were higher than those of single detection. Conclusion Combined detection of serum CEA, CYFRA21-1 and CA125 in NSCLC has higher diagnostic value, which can provide a reliable basis for the clinical diagnosis and prognostic judgement.

     

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