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血清白介素10水平在宫颈上皮内瘤样病变及宫颈癌患者中的意义研究

Significance of serum interleukin-10 level in patients with cervical intraepithelial neoplasia and cervical cancer

  • 摘要: 目的 探究宫颈上皮内瘤样病变(CIN)及宫颈癌患者血清白介素-10(IL-10)水平差异及其临床意义。方法 选择郑州人民医院CIN患者48例和宫颈癌患者54例作为研究对象,以同期健康体检者作为对照组,检测并比较3组受试者血清IL-10水平,分析IL-10与CIN分级及宫颈癌患者临床病理特征的关系,并采用受试者工作特征曲线(ROC)分析IL-10对CIN及宫颈癌的诊断价值。结果 CIN组和宫颈癌组血清IL-10水平均显著高于对照组(t=3.015,P=0.003;t=5.757,P=0.000),且宫颈癌组IL-10水平显著高于CIN组(t=3.010,P=0.003);CIN组不同亚组间血清IL-10水平差异有统计学意义(F=65.264,P=0.000);血清IL-10水平与宫颈癌肿瘤大小、分化程度、FIGO分期及淋巴结转移均有关(P<0.05)。ROC分析结果显示,以对照组作为参照,IL-10诊断CIN的曲线下面积AUC为0.666,敏感性43.75%,特异性90.00%;诊断宫颈癌的AUC为0.812,敏感性79.63%,特异性82.00%;以CIN患者作为参照分析血清IL-10诊断宫颈癌的AUC为0.655,敏感性77.78%,特异性54.17%。结论 CIN和宫颈癌患者血清IL-10水平均显著升高,与CIN分级,以及宫颈癌患者肿瘤大小、临床分期、FIGO分期、淋巴结转移等临床病理特征有关,且对CIN和宫颈癌具有一定诊断价值。

     

    Abstract: Objective To investigate the difference of serum interleukin-10 (IL-10) levels in cervical intraepithelial neoplasia (CIN) and cervical cancer patients and its clinical significance.Methods 48 patients with CIN and 54 patients with cervical cancer were selected as the study subjects. The healthy people in the same period were taken as the control group. The serum IL-10 levels of the three groups were detected and compared, and the relationship between IL-10 and CIN grades and clinicopathological features of cervical cancer patients were analyzed. The receiver operating characteristic curve (ROC) was used to analyze the diagnostic value of IL-10 for CIN and cervical cancer.Results Serum IL-10 levels were significantly higher in the CIN group and the cervical cancer group than in the control group (t=3.015, P=0.003; t=5.757, P=0.000), and the IL-10 level in the cervical cancer group was significantly higher than that in the CIN group. (t=3.010, P=0.003). There were significant differences in serum IL-10 levels between different subgroups of CIN group (F= 65.264, P=0.000). Serum IL-10 levels were associated with tumor size, differentiation, FIGO stage and lymph node metastasis in cervical cancer (P<0.05). ROC analysis showed that with the control group as a reference, the area under the curve of IL-10 diagnostic CIN was 0.666, the sensitivity was 43.75%, and the specificity was 90.00%, while the AUC for diagnosing cervical cancer was 0.812, the sensitivity was 79.63%, and the specificity was 82.00%. The AUC for the diagnosis of cervical cancer with serum IL-10 as a reference for CIN patients was 0.655, with a sensitivity of 77.78% and a specificity of 54. 17%.Conclusion Serum IL-10 levels in patients with CIN and cervical cancer are significantly increased, which are related to the CIN classification, as well as the clinicopathological features such as tumor size, clinical stage, FIGO stage, and lymph node metastasis, and has a certain diagnostic value for CIN and cervical cancer.

     

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