樊 璠,徐笑红,陈文虎.非霍奇金淋巴瘤患者血清TNF-α、CA125、β2-MG、LDH水平及临床意义[J].肿瘤学杂志,2012,18(10):780-783.
非霍奇金淋巴瘤患者血清TNF-α、CA125、β2-MG、LDH水平及临床意义
The Clinical Significance of Serum TNF-α,CA125,β2-MG and LDH in Patients with Non-Hodgkin’s Lymphoma
投稿时间:2012-07-12  
DOI:
中文关键词:  非霍奇金淋巴瘤  肿瘤坏死因子-α(TNF-α)  CA125  β2-微球蛋白(β2-MG)  
英文关键词:non-Hodgkin’s lymphoma(NHL)  tumor necrosis factor-α (TNF-α)  CA125  
基金项目:
作者单位
樊 璠 浙江省肿瘤医院 
徐笑红 浙江省肿瘤医院 
陈文虎 浙江省肿瘤医院 
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中文摘要:
      摘 要:[目的] 探讨非霍奇金淋巴瘤(NHL)患者血清肿瘤坏死因子-α(TNF-α)、CA125、β2-微球蛋白(β2-MG)和乳酸脱氢酶(LDH)检测的临床意义。[方法] 采用酶联免疫吸附法、化学发光免疫法、微粒子酶免疫发光法和速率法测定53例NHL患者化疗前后的血清TNF-α、CA125、β2-MG和LDH水平。[结果] 血清TNF-α、CA125、β2-MG和LDH水平均与NHL的临床分期密切相关,Ⅲ/Ⅳ期血清中上述指标水平显著高于Ⅰ/Ⅱ期(P<0.05);除TNF-α外,另3种标志物在中高危组均高于低危组,显示差异有统计学意义(P<0.05);NHL患者血清TNF-α、CA125和LDH水平与肿瘤转移有关(P<0.05)。经化疗后缓解的患者,血清TNF-α、CA125水平明显降低,差异有统计学意义(P<0.05)。[结论] 血清TNF-α、CA125、β2-MG、LDH联合检测可辅助临床的诊断及分期,评价预后,动态监测患者血清TNF-α和CA125水平有助于个体化治疗。
英文摘要:
      Abstract: [Purpose] To investigate the clinical significance of the serum tumor necrosis factor-α (TNF-α),CA125,beta-2 microglobulin (β2-MG) and lactate dehydrogenase(LDH) in non-Hodgkin’s lymphoma(NHL). [Methods] The level of TNF-α,CA125,β2-MG and LDH were measured by ELISA,chemiluminescence immunoassay,microparticle enzyme immunoassay and rate method respectively in 53 cases with NHL before and after chemotherapy.[Results] The level of TNF-α,CA125,β2-MG and LDH closely related to clinical stages. The 4 markers in stage ⅢorⅣ were obviously higher than those in stage ⅠorⅡ,with significant difference(P<0.05). The levels of other 3 markers except for TNF-α in high risk group of NHL patients were significantly higher than those in low risk group (P<0.05). The level of TNF-α,CA125 and LDH related to cancer metastasis (P<0.05). In response group after chemotherapy,the levels of TNF-α and CA125 decreased significantly than those before chemotherapy(P<0.05). [Conclusion] Combined detection of TNF-α,CA125,β2-MG and LDH might be helpful to diagnosis,staging and prognostic evaluation. Dynamic monitoring serum TNF-α and CA125 is helpful for individual treatment.
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