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中国临床研究英文版:2022,35(10):1411-1414
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外周血NLR、PLR和SCC-Ag检测对宫颈癌的诊断价值
(扬州大学附属医院妇科,江苏 扬州 225003)
Diagnostic value of peripheral blood NLR, PLR and SCC-Ag in cervical cancer
(Department of Gynecology, Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu 225003, China)
摘要
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Received:April 19, 2022   Published Online:October 20, 2022
中文摘要: 目的 探讨外周血白细胞/淋巴细胞比值(NLR)、血小板/淋巴细胞比值(PLR)和鳞状细胞癌相关抗原(SCC-Ag)联合检测对宫颈癌的诊断价值。方法 选取2013年6月至2021年12月就诊于扬州大学附属医院确诊宫颈癌患者80例(宫颈癌组)、宫颈癌前病变患者80例(癌前病变组)和正常体检宫颈未见明显异常妇女80例(对照组)。检测三组白细胞计数、血小板计数、中性粒细胞计数、淋巴细胞计数和SCC-Ag,计算NLR和PLR并进行比较。采用ROC曲线分析NLR、PLR及SCC-Ag单独检测对宫颈癌的诊断价值;并采用logistics回归建立NLR、PLR及SCC-Ag联合诊断模型,分析模型对宫颈癌的诊断价值。结果 宫颈癌组NLR、PLR及SCC-Ag水平均高于癌前病变组和对照组(P<0.05);通过ROC曲线分析NLR、PLR及SCC-Ag对于宫颈癌的诊断有一定的临床意义。NLR、PLR及SCC-Ag单项诊断和三者联合诊断宫颈癌的AUC分别为0.791、0.787、0.825和0.904,联合诊断效能明显高于各项单独诊断(P<0.01)。结论 外周血NLR、PLR及SCC-Ag检测对宫颈癌具有一定的诊断价值,联合检测可提高其诊断效能。
Abstract:Objective To explore the diagnostic value of combined detection of peripheral blood neutrophil/lymphocyte ratio (NLR), platelet / lymphocyte ratio (PLR) and squamous cell carcinoma-related antigen (SCC-Ag) in cervical cancer. Methods A total of 80 patients with confirmed cervical cancer (cervical cancer group), 80 patients with cervical precancerous lesions (precancerous lesions group) and 80 women with normal physical examination (control group) were selected between June 2013 to December 2021 in Affiliated Hospital of Yangzhou University. WBC, PLT, neutrophil count, lymphocyte count and SCC-Ag were detected in three groups, and NLR and PLR were calculated. ROC curve was used to analyze the diagnostic values of NLR, PLR and SCC-Ag in cervical cancer. The logistic regression model of combination of NLR, PLR and SCC-Ag was established to analyze the diagnostic value for cervical cancer. Results NLR, PLR and SCC-Ag in cervical cancer group were significantly higher than those in precancerous lesions group and control group (P<0.05).ROC curve analysis showed that NLR, PLR and SCC-Ag had certain clinical significance for the diagnosis of cervical cancer. The AUCs of NLR, PLR and SCC-Ag in single diagnosis and combined diagnosis of cervical cancer were 0.791, 0.787, 0.825 and 0.904, respectively. The efficacy of combined diagnosis was significantly higher than that of single diagnosis (P<0.01). Conclusion The combined detection of NLR, PLR and SCC-Ag can improve the diagnostic efficiency for cervical cancer.
文章编号:     中图分类号:R737.33    文献标志码:B
基金项目:江苏省妇幼健康科研项目(F202134)
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