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血清中CYFRA21-1和SCCAg水平对宫颈癌放疗患者预后分析

吴娣,徐粤,柳洲   

  1. 上海市浦东新区周浦医院妇产科,上海 201318
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-11-25
  • 基金资助:
    #基金项目:上海市浦东新区重点学科资助(编号:PWZx2014-18),项目名称:腹腔镜子宫腺肌瘤切除术腹腔镜内环境变化及疗效观察。

Prognostic Analysis of Serum CYFRA21-1 and SCCAg Levels in Patients with Cervical Cancer Radiotherapy

Wu Di, Xu Yue, Liu Zhou   

  1. Department of Obstetrics and Gynecology , Zhoupu Hospital, Pudong New Area Shanghai, Shanghai 201318,China
  • Received:1900-01-01 Revised:1900-01-01 Online:2016-11-25

摘要: 【摘要】目的:探讨宫颈癌患者血清中CYFRA21-1和SCCAg水平对宫颈癌放疗患者肿瘤预后的影响。方法:50例宫颈癌的患者50采用放射免疫检测法检测患者血清中CYFRA21-1和SCCAg水平,采用Pearson和Spearman相关性分析血清中CYFRA21-1和SCCAg水平与宫颈癌患者临床特征的关系,采用COX回归模型分析CYFRA21-1和SCCAg水平与子宫颈癌患者死亡或转移复发的的关系。结果:50例宫颈癌患者,出现终点事件者11例,LNR4期患者出现终点事件的风险较高约44.5%,CYFRA21-1和SCCAg水平均与宫颈癌患者CA-125值、肿瘤的N分期、肿瘤侵犯深度成正相关,与患者年龄无明显相关,肿瘤分化程度(P=0.013)、血清CYFRA21-1水平(P=0.02)、血清SCCAg水平(P=0.03)、肿瘤侵犯深度(P=0.04)是宫颈癌患者出现终点事件的独立危险因素。结论:CYFRA21-1和SCCAg水平对宫颈癌放疗患者肿瘤预后密切相关。

Abstract: 【ABSTRACT】Objective: To To investigate the effect of serum levels of CYFRA21-1 and SCCAg in cervical cancer patients on tumor prognosis of patients with cervical cancer radiotherapy. Methods: 50 cases of cervical cancer patients by radioimmunoassay 50 levels of CYFRA21-1 and serum SCCAg detection method,using Pearson and Spearman correlation analysis the relationship between serum CYFRA21-1 and SCCAg levels and clinical characteristics of patients with cervical cancer,using COX regression model to analyze the CYFRA21-1 and SCCAg levels in patients with cervical cancer or died of recurrence and metastasis of the the relationship between. Results: 50 cases of patients with cervical cancer,11 cases of endpoint events,LNR4 patients have a higher risk of events about 44.5%,CYFRA21-1 and SCCAg levels and CA-125 in patients with cervical cancer,tumor N staging,depth of tumor invasion was positively correlated,no obvious correlation with age,degree of tumor differentiation (P=0.013),the serum level of CYFRA21-1 (P=0.02),the serum level of SCCAg (P=0.03),depth of tumor invasion (P=0.04) is an independent risk factor outcome in patients with cervical cancer. Conclusion: The levels of CYFRA21-1 and SCCAg are closely related to the prognosis of patients with cervical cancer radiotherapy.