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中国当代医药  2020, Vol. 27 Issue (34): 179-181    
  检验医学 本期目录 | 过刊浏览 | 高级检索 |
食管癌患者的鳞状细胞癌抗原、神经元特异性烯醇化酶、癌胚抗原水平及与临床病理因素的关系
张才田1 谢尔付2
1.江苏省仪征市人民医院检验科 
2.江苏省人民医院检验科
Squamous cell carcinoma antigen,neuron-specific enolase,carcinoembryonic antigen levels in patients with esophageal cancer and their relationship with clinicopathological factors
ZHANG Cai-tian1 XIE Er-fu2
1.Department of Laboratory,Yizheng People′s Hospital
2.Department of Laboratory,Jiangsu Provincial People′s Hospital
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摘要 目的 探讨食管癌患者中鳞状细胞癌抗原(SCC)、神经元特异性烯醇化酶(NSE)、癌胚抗原(CEA)水平及与临床病理因素的关系。方法 选取2017年5月~2020年5月仪征市人民医院收治的82例食管癌患者作为观察组,另外选取90例同期体检的健康人作为对照组。比较两组血清SCC、NSE及CEA水平;考察不同临床病理特征食管癌患者的血清SCC、NSE及CEA水平;分析影响血清SCC、NSE及CEA水平的因素。结果 观察组的血清SCC、NSE及CEA水平高于对照组,差异有统计学意义(P<0.05);不同性别、年龄食管癌患者的血清SCC、NSE及CEA水平比较,差异无统计学意义(P>0.05)。发生淋巴结转移、分化程度高、TNM 分期为Ⅲ、Ⅳ期的患者,其血清SCC、NSE及CEA水平较高,差异有统计学意义(P<0.05)。以血清SCC、NSE及CEA水平为因变量,淋巴结转移、分化程度、肿瘤TNM 分期为自变量,进行单因素线性回归分析,结果显示,淋巴结转移、分化程度、肿瘤TNM 分期是影响食管癌患者血清SCC、NSE及CEA水平的因素(P<0.05)。结论 食管癌患者中SCC、NSE及CEA 表达水平较高,淋巴结转移、分化程度、肿瘤TNM 分期是影响食管癌患者血清SCC、NSE及CEA水平的因素。
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张才田
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关键词 食管癌神经元特异性烯醇化酶癌胚抗原鳞状细胞癌抗原病理因素    
AbstractObjective To explore the relationship between squamous cell carcinoma antigen (SCC),neuron-specific enolase (NSE),carcinoembryonic antigen (CEA) levels and clinicopathological factors in patients with esophageal cancer.Methods A total of 82 patients with esophageal cancer admitted to Yizheng People′s Hospital from May 2017 to May 2020 were selected as the observation group,and 90 healthy people who received physical examination during the same period were selected as the control group.The serum SCC,NSE and CEA levels were compared between the two groups.The serum SCC,NSE and CEA levels in patients with esophageal cancer with different clinicopathological characteristics were investigated,the factors affecting the serum SCC,NSE and CEA levels were analyzed.Results Serum SCC,NSE and CEA levels in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05).There were no significant differences in serum SCC,NSE and CEA levels in patients with esophageal cancer of different genders and ages (P>0.05).The patients with lymph node metastasis,high degree of differentiation,and TNM stages Ⅲand Ⅳhad higher serum SCC,NSE and CEA levels,the differences were statistically significant (P<0.05).The levels of serum SCC,NSE and CEA were used as dependent variables,and lymph node metastasis,differentiation degree and TNM stage were used as independent variables for univariate linear regression analysis.The results showed that lymph node metastasis,degree of differentiation and TNM stage of tumor were the factors affecting the serum SCC,NSE and CEA levels in patients with esophageal cancer (P<0.05).Conclusion SCC,NSE and CEA expression levels are higher in patients with esophageal cancer.Lymph node metastasis,degree of differentiation,and tumor TNM stage are factors that affect the serum levels of SCC,NSE and CEA in patients with esophageal cancer.
Key wordsEsophageal cancer    Neuron-specific enolase    Carcinoembryonic antigen    Squamous cell carcinoma antigen    Pathological factors
    
基金资助:国家自然科学基金资助项目青年科学基金项目(81101322)
作者简介: 张才田(1975-),男,汉族,江苏仪征人,硕士,研究方向:检验免疫
引用本文:   
张才田;谢尔付. 食管癌患者的鳞状细胞癌抗原、神经元特异性烯醇化酶、癌胚抗原水平及与临床病理因素的关系[J]. 中国当代医药, 2020, 27(34): 179-181.
ZHANG Cai-tian;XIE Er-fu. Squamous cell carcinoma antigen,neuron-specific enolase,carcinoembryonic antigen levels in patients with esophageal cancer and their relationship with clinicopathological factors. 中国当代医药, 2020, 27(34): 179-181.
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