胃癌患者血清IL-6、CA724、VEGF联合检测的临床意义
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Clinical value of serum IL-6,CA724 and VEGF in patients with gastric cancer
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    摘要:

    目的:研究胃癌患者血清白细胞介素-6(IL-6)-血清糖类抗原724(CA724)-血管内皮生长因子(vascular endothelial growth factor,VEGF)的检测在胃癌诊断中的临床意义。方法:采用ELISA 法测定80例胃癌患者及40例正常对照组血清IL-6-CA724-VEGF 的水平。结果:对照组患者血清IL-6-CA724-VEGF检测值均低于胃癌组[(48.12 ± 28.02) vs (149.62 ± 43.00)ng/ml,(4.53 ± 3.47) vs (15.29 ± 3.64)U/ml,(64.86 ± 17.67) vs (212.78 ± 125.61)pg/ml, P均< 0.01)]。胃癌患者血清IL-6-CA724-VEGF的联合检测的阳性率达到76.3%,明显高于各单项标记物的检测阳性率(分别为33.8%-43.8%-52.5%)。胃癌肝转移患者IL-6-CA724-VEGF检测值明显高于无肝转移患者[分别为(168.43 ± 54.03) vs (130.81 ± 10.00)ng/ml-(16.20 ± 4.57) vs (14.39 ± 2.05)U/ml-(289.47 ± 140.61) vs (136.09 ± 11.22)pg/ml,P 均< 0.05)],IL-6-CA724-VEGF 阳性率高于无肝转移患者(分别为50.0% vs 17.5%,P < 0.05;55.0% vs 32.5%,P > 0.05;65.0% vs 40.0%,P > 0.05)。结论:IL-6-CA724-VEGF 可用于胃癌及肝转移诊断-预后判断,联合检测可提高诊断率。

    Abstract:

    Objective: To investigate the clinical value of serum IL-6,CA724 and VEGF in gastric cancer patients. Methods:The serum levels of IL-6,CA724 and VEGF were detected with ELISA in 40 healthy subjects and 80 patients with gastric cancer. Results:The levels of three kinds of tumor markers in gastric cancer patients were obviously higher than those in the control group (IL:149.62 ± 43.00 vs 48.12 ± 28.02 ng/ml,CA724:15.29 ± 3.64 vs 4.53 ± 3.47 U/ml,VEGF:212.78 ± 125.61 vs 64.8 6±17.67 pg/ml,respectively,P < 0.01). Sensitivity of detection was improved when they were combined. The positive rate of IL-6,CA724 and VEGF in combination was 76.3%,which was significantly higher than that of single marker (33.8%,43.8% and 52.5%,respectively). The values of IL-6,CA724 and VEGF were also higher in gastric cancer patients with liver metastasis than those without such metastasis(168.43 ± 54.03 vs 130.81 ± 10.00 ng/ml,16.20 ± 4.57 vs 14.39 ± 2.05 U/ml,289.47 ± 140.61 vs 136.09 ± 11.22 pg/ml,P < 0.05). The positive rates of IL-6,CA724 and VEGF in gastric cancer patients with liver metastasis were remarkably higher than those in gastric cancer patients without liver metastasis(50.0% vs 17.5%,P < 0.05;55.0% vs 32.5%,P > 0.05;65.0% vs 40.0%,P > 0.05). Conclusion:The results suggested that the determination of serum IL-6,CA724 and VEGF is valuable for the diagnosis of gastric cancer and liver metastasis. The diagnostic value can be enhanced by detection of IL-6,CA724 and VEGF in combination.

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陈明祥,武正山,张信强,吕俊明,李 扬.胃癌患者血清IL-6、CA724、VEGF联合检测的临床意义[J].南京医科大学学报(自然科学版),2013,(2):247-250

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  • 收稿日期:2012-08-08
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  • 在线发布日期: 2013-03-05
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