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乙型肝炎后肝硬化患者血清AFP-L3、GP-73、CEA与HBV-DNA载量的关系及在肝硬化分级诊断中的价值

刘蕾 赵鹏 邢雪梅 张军 杨皓莹

检验医学与临床2018,Vol.15Issue(3):320-322,3.
检验医学与临床2018,Vol.15Issue(3):320-322,3.DOI:10.3969/j.issn.1672-9455.2018.03.010

乙型肝炎后肝硬化患者血清AFP-L3、GP-73、CEA与HBV-DNA载量的关系及在肝硬化分级诊断中的价值

Relationship between GP73,CEA, AFP-L3 and HBV-DNA, and their diagnostic value in the classification in patients with liver cirrhosis

刘蕾 1赵鹏 1邢雪梅 1张军 1杨皓莹1

作者信息

  • 1. 西安交通大学医学院附属三二○一医院检验科,陕西汉中723000
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摘要

Abstract

Objective To investigate the relationship between GP73,CEA,AFP-L3 and HBV-DNA,and their diagnostic value in the classification in patients with liver cirrhosis.Methods A total of 72 cases of hepatitis B were selected from August 2015 to August 2016 year in our hospital as the research objects,which 40 cases of LC,32 cases of PHC,and 34 cases of liver function examination surface antibody positive healthy were selected as the controls.DNA HBV was detected by FQ-PCR method,and AFP-L3,GP73 and CEA levels in all subjects were detected by ELISA.Results LC group of serum AFP-L3,GP73,CEA were significantly higher than the control group,the differences were statistically significant (P<0.05),PHC group of serum AFP-L3,GP73,CEA levels were significantly higher than those in group LC (P<0.05);The levels of serum AFP-L3,GP73 and CEA in the negative group were significantly higher than those in the control group (P< 0.05),and increased with the increase of DNA HBV load (P<0.05);The levels of serum AFP-L3,GP73 and CEA increased with the increase of Child-Pugh (P<0.05);The serum levels of AFP-L3,GP73,CEA and DNA HBV were positively correlated (rs =0.582,0.521,0.630,P<0.05).Conclusion The serum levels of AFP-L3,GP73,CEA are closely related to the persistent infection of DNA HBV,which may be used as serum markers for the diagnosis of LC and the monitoring of disease progression.

关键词

肝硬化/乙型肝炎病毒/血清甲胎蛋白L3/高尔基体蛋白-73/癌胚抗原

Key words

liver cirrhosis/hepatitis B virus/alpha-fetal protein L3/golgi protein 73/carcino-embryonic antigen

分类

医药卫生

引用本文复制引用

刘蕾,赵鹏,邢雪梅,张军,杨皓莹..乙型肝炎后肝硬化患者血清AFP-L3、GP-73、CEA与HBV-DNA载量的关系及在肝硬化分级诊断中的价值[J].检验医学与临床,2018,15(3):320-322,3.

检验医学与临床

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