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时间:2020-03-21
《肿瘤相关抗原指标在慢性乙型肝炎中的临床意义.pdf》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、右江医学2014年第42卷第5期ChineseYoujiangMedicalJournal2014。Vo1.42No.5·561·肿瘤相关抗原指标在慢性乙型肝炎中的临床意义吴寅涛,周玉麟,杨志贤(江苏省宜兴市人民医院感染科,宜兴214200)【摘要】目的探讨肿瘤相关抗原指标在慢性乙型肝炎中的临床意义。方法选取感染科住院治疗的乙型病毒性肝炎患者80例,按有无黄疸分为两组(无黄疸组与黄疸组),所有患者分别检测入院时及出院前清晨空腹血清中肿瘤相关抗原指标:甲胎蛋白(AFP)、癌胚抗原(CEA)、糖链抗原199(CA199)、糖链抗原125(CA125)。结果入院时无黄疸组与黄疸
2、组间CEA比较差异无统计学意义(P>0.05);AFP、CA199、CA125比较差异有统计学意义(P<0.01)。出院前无黄疸组与黄疸组间CEA比较差异无统计学意义(P>0.05);AFP、CA199、CA125比较差异有统计学意义(P<0.01)。黄疸组人院时与出院前CEA比较,差异无统计学意义(P>0.05),AFP、CA199、CA125比较差异有统计学意义(P0.05)。结论CEA在慢性乙肝患者中一般无明显异常。慢性乙肝患者如
3、出现AFP、CA199、CA125异常增高,应积极作影像学检查或内镜检查排除肿瘤,通常这些异常指标随肝炎病情好转而明显降低。CA199、CA125异常增高常见于伴有黄疸的慢性乙肝患者。【关键词】肝炎;乙型;AFP;CEA;CA199;CA125中图分类号:R512.62文献标识码:ADOI:10.3969/j.issn.1003—1383.2014.05.015Clinicalsignficanceoftumor-associatedantigenindexesinpatientswithchronichepatitisBYintao,ZHOUYulin,YANGZhix
4、ian(DepartmentofInfection,Pe~le’sHospitalofYixing,Yixing214200,Jiangsu,China)【Abstract】ObjectiveTostudytheclinicalsignificanceoftumor—associatedantigenindexesinpatientswithchronichep-atitisB.Methods80patients,whowereinfectedwithhepatitisBvirusandhospitalizedinDepartmentofInfectionofourhos
5、pital,wereselectedandallthepatientsweredividedintoobservationgroup(withjaundice)andcontrolgroup(withoutjaundice).Tumor-associatedantigenindexesintheserumofallthepatientsweredetectedonadmissionandinthemorningofbeforehospitaldischargerespectivelywhentheywereonemptystomach.Theindexesincluded
6、alphafetoprotein(AFP),careino—embryonieantigen(CEA),carbohydrateantigen199(CA199)andcarbohydrateantigen125(CA125).ResultsDiferenceofCEAvalueonadmissionbetweenthetwogroupswasnotstatisticallysignificant(P>0.05),butdifferencesofAFP,CA199andCA125valuesbetweentwogroupswerestatisticallysignific
7、ant(P<0.01).Therewasalsonostatisticsignifi—vanceinCEAvaluedifferencebetweentwogroupsbeforehospitaldischarge(P>O.05),butdiferencesofAFP,CA199andCA125valuesbetweenthesetwogroupswerestatisticallysignificant(P
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