摘要
目的:探讨结直肠癌患者手术治疗前后血清CRP、CEA和VEGF水平的变化及临床意义。方法:对45例结直肠癌患者进行手术治疗前后血清CRP、CEA和VEGF水平检测,并与35名健康者作比较;分别计算比较15例术后复发患者CRP、CEA和VEGF阳性率和总阳性率。结果:结直肠癌患者治疗前血清CRP、CEA和VEGF水平显著高于健康对照组(P<0.05),术后2周其水平比术前有显著下降(P<0.05);而复发组15例,其水平有回升,与未复发组比较差异有统计学意义(P<0.05);术后复发患者三项指标检测的总阳性率为93%,明显高于单项检测阳性率最高的VEGF(P<0.05)。结论:检测结直肠癌患者血清CRP、CEA和VEGF水平的变化,对判断术后疗效和预测复发有重要的临床意义。
Objective: To explore the clinical significance of changes of serum C-reactive protein(CRP),carcinoem- bryonic antigen(CEA) and vascular endothelial growth factor(VEGF) levels before and after operation in patients with colorectal cancer. Methods: Perioperative serum CRP, CEA and VEGF levels were determined in 45 pa- tients with colorectal cancer as well as in 35 controls. The positive rate of CRP,CEA ,VEGF and the total positive rate was calculated and compared in 15 relapse patients. Results: The preoperative levels of serum CRP, CEA and VEGF in patients with colorectal cancer were significantly higher than those in controls (P〈0.05) and then dramatically decreased at 2 weeks after surgery as compared to that before surgery(P〈0.05). However, the serum levels of CRP, CEA, and VEGF in 15 patients with relapses were increased 6 months later and were sig- nificantly higher than those in patients without relapses(P〈0.05). The total positive rate of serum CRP,CEA and VEGF in 15 patients with recurrence was 93%,which was obviously higher than that of CRP or CEA or VEGF. Conclusion: Serum levels of CRP, CEA and VEGF might be useful for monitoring and predicting therapeutic effi- cacy after surgery in patients with colorectal cancer.
出处
《浙江中西医结合杂志》
2012年第12期935-937,共3页
Zhejiang Journal of Integrated Traditional Chinese and Western Medicine
关键词
结直肠癌
C反应蛋白
癌胚抗原
血管内皮生长因子
colorectal cancer C-reactive protein carcinoembryonic antigen vascular endothelial growth factor