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SCC-Ag、CEA及HE4测定对宫颈癌的诊断价值研究

The value of SCC-Ag,CEA and HE4 in the diagnosis of cervical cancer

  • 摘要: 目的 分析探讨联合检测血清鳞状细胞癌抗原(SCC-Ag)、癌胚抗原(CEA)及人附睾分泌蛋白4(HE4)诊断宫颈癌的临床价值。方法 选取湖南省妇幼保健院2011-2015年确诊的宫颈癌患者60例(宫颈癌组)、健康女性60人为对照组、宫颈上皮瘤变患者60例(CIN组),检测血清SCC-Ag、CEA及HE4水平,并计算各项指标单独应用和联合应用鉴别诊断宫颈癌的临床价值。结果 宫颈癌组患者的血清SCC-Ag、CEA及HE4水平显著高于CIN组、对照组,差异具有统计学意义(P<0.05);CIN组患者的血清SCC-Ag、CEA及HE4水平显著高于对照组(P<0.05)。血清SCC-Ag鉴别诊断宫颈癌组的灵敏度为31.67%、特异度为66.67%;血清CEA鉴别诊断宫颈癌组的灵敏度为35.00%、特异度为63.33%;血清HE4鉴别诊断宫颈癌组的灵敏度为38.33%、特异度为56.67%;血清SCC-Ag、CEA及HE4联合检测诊断宫颈癌的灵敏度为86.67%、特异度为76.67%、漏诊率为13.33%、误诊率为23.33%。结论 血清SCC-Ag、CEA及HE4联合检测诊断宫颈癌能显著提高诊断的灵敏度和特异度。

     

    Abstract: Objective To analyze and explore the clinical value of combined detection of serum SCC-Ag, CEA and HE4 in the diagnosis of cervical cancer.Methods During 2011-2015, total 180 cases were recruited in in our hospital. Among them, 60 cases were diagnosed with cervical cancer (cervical cancer group), 60 cases were diagnosed with cervical intraepithelial neoplasia (CIN group), and 60 were healthy women (control group). All of the cases were tested the serum levels of SCC-Ag, CEA and HE4. The clinical value of each index or combined indexes in diagnosis of cervical cancer was evaluated.Results The serum levels of SCC-Ag, CEA and HE4 of cervical cancer group were significantly higher than that of CIN group and control group. The difference was statistically significant (P<0.05). The serum levels of SCC-Ag, CEA and HE4 of CIN group were significantly higher than that of control group (P<0.05). The sensitivity of serum SCC-Ag in differential diagnosis of cervical cancer group was 31.67% and the specificity was 66.67%. The sensitivity of serum CEA in differential diagnosis of cervical cancer group was 35% and the specificity was 63.33%. The sensitivity of serum HE4 in differential diagnosis of cervical cancer group was 38.33% and the specificity was56.67%; The sensitivity of combination of serum SCC-Ag, CEA and HE4 tests in diagnosis of cervical cancer was 86.67%, the specificity was 76.67%, the misdiagnosis rate was 13.33%, and the misdiagnosis rate was 23.33%.Conclusion The combination of serum SCC-Ag, CEA and HE4 tests can significantly improve the sensitivity and specificity of cervical cancer diagnosis.

     

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