中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2008年
3期
170-172
,共3页
胆道肿瘤%肿瘤标记%生物学%抗原%肿瘤相关%碳水化合物
膽道腫瘤%腫瘤標記%生物學%抗原%腫瘤相關%碳水化閤物
담도종류%종류표기%생물학%항원%종류상관%탄수화합물
Biliary troct neoplasm%Tumor marker%Biology%Antigen%Tumor associated%Carbohydrate
目的 评价CA19-9对胆道系统疾病的诊断价值.方法 回顾分析第二军医大学东方肝胆外科医院621例胆道疾病病例,测定血清CA19-9值,分析了血清CA19-9和临床诊断、血清胆红素水平、手术方式、病理及预后结果的关系.结果 在取37U/ml为阳性界值时,CA19-9具有最好的诊断准确率(93.9%),在胆道恶性肿瘤中的阳性率较良性疾病组增高有显著的意义;黄疸病例CA19-9阳性率较无黄疸对照组显著增高,而特异性降低.结论 血清CA19-9在胆道疾病的诊断、治疗监视及预后判断上具有较高的临床价值.
目的 評價CA19-9對膽道繫統疾病的診斷價值.方法 迴顧分析第二軍醫大學東方肝膽外科醫院621例膽道疾病病例,測定血清CA19-9值,分析瞭血清CA19-9和臨床診斷、血清膽紅素水平、手術方式、病理及預後結果的關繫.結果 在取37U/ml為暘性界值時,CA19-9具有最好的診斷準確率(93.9%),在膽道噁性腫瘤中的暘性率較良性疾病組增高有顯著的意義;黃疸病例CA19-9暘性率較無黃疸對照組顯著增高,而特異性降低.結論 血清CA19-9在膽道疾病的診斷、治療鑑視及預後判斷上具有較高的臨床價值.
목적 평개CA19-9대담도계통질병적진단개치.방법 회고분석제이군의대학동방간담외과의원621례담도질병병례,측정혈청CA19-9치,분석료혈청CA19-9화림상진단、혈청담홍소수평、수술방식、병리급예후결과적관계.결과 재취37U/ml위양성계치시,CA19-9구유최호적진단준학솔(93.9%),재담도악성종류중적양성솔교량성질병조증고유현저적의의;황달병례CA19-9양성솔교무황달대조조현저증고,이특이성강저.결론 혈청CA19-9재담도질병적진단、치료감시급예후판단상구유교고적림상개치.
Objective To evaluate the clinical values of serum CA19-9 measurements in diseases Of biliary system.Methods Serum concentration of the CA19-9 antigen was determined in 621 patients with biliary diseases.Their serum bilirubin levels,operative managements,pathological factors and survivals were also analyzed.Results The highest effective percentage(93.9%)was observed at the CUt-off value of 37U/ml of serum CA19-9 level.Compared with benign disease group,it had a significant difference of the positive rate in malignant disease group of biliary system.A significant higher sensitivity rate and lower specificity rate were observed in patients with jaundice than those without jaundice.Conclusions The measurement of serum CA19-9 level has a important value for the diagnosis,operative management and prognosis of biliary system diseases.though a confident discrimination between benign and malignant jaundice could not be made on the basis of its elevation.
