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外周血NLR、MLR和CA125在结肠癌诊断及病情评估中的应用价值

白雨露 赵秧 苗雅琪

中国肛肠病杂志2025,Vol.45Issue(10):5-8,4.
中国肛肠病杂志2025,Vol.45Issue(10):5-8,4.

外周血NLR、MLR和CA125在结肠癌诊断及病情评估中的应用价值

Application Value of Peripheral Blood NLR,MLR and CA125 in Diagnosis and Condition Assessment of Colon Cancer

白雨露 1赵秧 2苗雅琪3

作者信息

  • 1. 新乡市第一人民医院检验科(河南 新乡 453000)
  • 2. 新乡市第一人民医院肿瘤科(河南 新乡 453000)
  • 3. 新乡市第二人民医院检验科(河南 新乡 453000)
  • 折叠

摘要

Abstract

Objective To analyze the application value of peripheral blood neutrophil-lymphocyte ratio(NLR),monocyte-lymphocyte ratio(MLR)and carbohydrate antigen 125(CA125)in the diagnosis and con-dition assessment of colon cancer.Methods A total of 98 patients with colon cancer admitted to our hospital from September 2022 to March 2025 were selected as the observation group,and 98 healthy people undergoing physical examination in our hospital during the same period were selected as the control group.The levels of peripheral blood NLR,MLR and CA125 in the two groups were detected,and the ROC curve was used to ana-lyze their value in the diagnosis of colon cancer.Results The levels of NLR,MLR and CA125 in the obser-vation group[(2.23±0.65),(0.32±0.05)and(22.37±7.13)U/mL]were higher than those in the control group[(1.78±0.32),(0.28±0.02)and(16.27±5.18)U/mL],and the difference was statistically signifi-cant(P<0.05).The levels of NLR,MLR and CA125 in patients with TNM stage Ⅰ-Ⅱ[(2.05±0.66),(0.27±0.09)and(20.46±4.38)U/mL]were lower than those in patients with stage Ⅲ-Ⅳ[(2.40±0.57),(0.35±0.10)and(24.13±5.67)U/mL],and the difference was statistically significant(P<0.05).The results of the ROC curve showed that the area under the curve(AUC)of the combined detection of NLR,MLR and CA125 in the diagnosis of colon cancer was 0.896,95%CI:0.847-0.945,the sensitivity was 80.04%,and the specificity was 90.25%.Conclusion The levels of peripheral blood NLR,MLR and CA125 are closely related to the TNM stage of colon cancer,and they have high value in the diagnosis and con-dition assessment of colon cancer.

关键词

结肠癌/中性粒细胞与淋巴细胞比值/单核细胞与淋巴细胞比值/糖类抗原125/诊断

Key words

Colon cancer/Neutrophil-lymphocyte ratio/Monocyte-lymphocyte ratio/Carbohydrate anti-gen 125/Diagnosis

引用本文复制引用

白雨露,赵秧,苗雅琪..外周血NLR、MLR和CA125在结肠癌诊断及病情评估中的应用价值[J].中国肛肠病杂志,2025,45(10):5-8,4.

中国肛肠病杂志

1000-1174

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