肿瘤标志物CA199联合螺旋CT检查胆囊癌33例
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林 翀, 廖 彦, 何长有
胆囊癌;16层螺旋CT;肿瘤标志物CA199;化学发光法,林翀,廖彦,何长有,通讯作者:,ClinicalvalueofcombinedserumtumormarkerCA199andspiralCTinthediagnosisofgallblad
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林翀, 廖彦, 何长有, 海南省农垦总局医院东湖院区检验科 海南省海口市 570203
通讯作者: 林翀, 570203, 海南省海口市, 农垦医院东湖院区检验科. dhxjslc@163.com
电话: 0898-65374252
收稿日期: 2007-09-28 修回日期: 2007-11-28
Clinical value of combined serum tumor marker CA199 and spiral CT in the diagnosis of gallbladder carcinoma: an analysis of 33 cases
Chong Lin, Yan Liao, Chang-You He
Chong Lin, Yan Liao, Chang-You He, Department of Clinical Laboratory, Nongken Chief Board Hospital of Hainan Province, Haikou 570203, Hainan Province, China
Correspondence to: Chong Lin, Department of Clinical Laboratory, Nongken Chief Board Hospital of Hainan Province, Haikou 570311, Hainan Province, China. dhxjslc@163.com
Received: 2007-09-28 Revised: 2007-11-28
Abstract
AIM: To analyze the clinical value of combined CA199 and spiral CT in the diagnosis of gall-bladder carcinoma.
METHODS: Clinical data on 33 patients with gallbladder carcinoma were analyzed retrospectively and assessed for the presence of CA199 with chemoluminescence and spiral CT.
RESULTS: The diagnostic rates of 16-slice spiral CT, serum CA199 and their combination were 72.73%, 81.82% and 66.67%, respectively, with no significant difference (c2 = 1.98, P > 0.05). Using spiral CT, 24 patients were diagnosed as having gallbladder carcinoma before treatment, including 10 cases of soft-tissue mass type, 6 cases of cystic wall thickening and 6 cases of intra-cystic type.
CONCLUSION: Determining the presence of serum CA199 may contribute to an early diagnosis of gallbladder carcinoma, and spiral CT data and its typing may provide scientific evidence for making suitable treatment plans. Combined serum CA199 and spiral CT has no effect on the sensitivity, but can improve the specificity of gallbladder carcinoma diagnosis ......
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