血清和胆汁CA19_9联合检测对诊断胆道良恶性病变的价值_秦兴雷.pdfVIP

2000 5 7 3 　Chin J Bases Clin General Surg, Vol 7, No.3, M ay 2000 ·161 · 1007-9424 (2000)03-0161-03 ·临床研究· 【 】 CA19-9 1 2 3 1 3 3 秦兴雷 　李志强 　石景森 　张　练 　王作仁 　王　林 　　CA19-9 。　 RIA 【 】 35 , 92 15 CA19-9 CEA 。　 CA19-9 、80.00%85.11%, CEA 68.57% 82.97%。CA 19-9 12 000 kU/L, 、 85.71%73.91%。 CEA 480 μg/L, 57.14%77.17%。CA19-9 CEA 26.09% 22.83%。　CA 19-9 , 。 　　　　　　　　 19-9　　 【 】 R657.4;R735.8;R446.62 　　　 A 【 】 【 】 ＊ VALUE OF BILE AND SERUM CA19-9 AND CEA IN DIAGNOSING BILIARY TRACT CARCINOMA　QIN X in-lei , L I ＊ Z hi-qiang , SHI J ing-sen, et a l.D ep ar tm en t of Hep a tobiliary S urgery , L uoy ang Cen tra l Hosp ita l, Luoyang 471009 【 】 Abst act 　Objective　To evaluate the value of ile and serum CA19-9 in diagnosing iliary tract carcinoma.Methods　 Bile and serum CA 19-9 and CEA were determined y radioimmunoassay (RIA ).Results　The dividing value of ile CA19-9 is 12 000 kU/L, and its sensitivity and specificity were 85.71%, 73.91% respectively.The dividing value of ile CEA is 480 μg/L, and its corresponding indexes were 57.14% and 77.17%.The false positive rate of ile CA19-9 and CEA were 26.09%and 22.83%.Serum CA19-9 sensitivity, specificity w ere 80.00%and 85.11%;the corresponding indexes of serum CEA were 68.57%and 82.97%.Conclusion　CA 19-9 is an effective tumor marker in diagnosing, deciding w hether the tu- mor has een radically resected and in monitoring its response to the treatment. Key wo ds 　　Neoplasm of iliary tract　　Benign iliary lesion　　Bile　　Car ohydrate antigen 19-9 　　Carci- 【 】 noem ryonic antigen 　　CA 19-9 92 (62