腫瘤標(biāo)記物聯(lián)合影像結(jié)果對(duì)肝癌診斷的影響.pdf

1、新疆醫(yī)科大學(xué)碩士學(xué)位論文腫瘤標(biāo)記物聯(lián)合影像結(jié)果對(duì)肝癌診斷的影響姓名：陳婷申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：腫瘤學(xué)指導(dǎo)教師：包永星201103新疆醫(yī)科大學(xué)碩士學(xué)位論文新疆醫(yī)科大學(xué)碩士學(xué)位論文2TheinfluenceofdiagnosingthelivercancerbythetummarkercombinewiththeresultofvideoPostgraduate:ChentingSupervis:Prof.BaoyongxingAbstr

2、actObjective:Through2kindsofnoninvasivetesting:xraycomputedtomographyserumtummarkerscombinedinlivercancerdiagnosistodevelopdiagnosismethodsonlivercancer.Methods:100casehistieswithprimarylivercancerinourfacultywereretrosp

3、ectivelyreviewedallofthemareinaccdancewiththeclinicalmanifestations.Throughmedicalimages、tummarkerseachconfirmeddiagnosisafterlabatyindicatsbeingtestedsomeofthecaseswereprovedtobelivercancerwithagesbetween3176(average56.

4、3)amongthem.Besides50casesofbenignlivercancerincluding21Cirrhosisofliver28Chronichepatitisagesbetween2683(average58.9).Thereare58peoplewhosenodes≤3cm54people’snodesin35cm38people’snodes≥5.0cm。Allofthepatientswereputintes

5、tesofchemiluminescence(whichisfcheckinglevelsofserumAFP、CA125、CA199、CEA)CTscanning.Results:PositiveratesofserumAFP、CA199、CA125、CEAoftummarkersbeingtestedincaseunitwere:57%、50%、41%、31%.PositiveratesinCTscanningdetectionwa

6、s86%.Thesensitivityspecificitywillincreaseafterthenodeincreasing.Thebiggestdatewillappearwhenthenode5cm.SingledetectionsensitivitiesofthefourtummarkersAFP、CA199、CA125、CEAwere78.3%、66.7%、56.3%、46.7%whilespecificities33.3%

7、、17.6%、13.6%、8.7%.Intercombinationbetweentwo.hreefouritemsoftummarkerswillapparentlyincreasesensitivitiesspecificities.Intercombinationbetweenfouritemtummarkerswasmosteffctivethesensitivityspecificitywerespectivelyimprov