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[血清乳酸脱氢酶、β2-微球蛋白及血管内皮生长因子水平检测在非霍奇金淋巴瘤患者中的临床意义]

[Clinical significance of serum lactate dehydrogenase, β2-microglobulin and vascular endothelial growth factor level detection in patients with non-Hodgkin's lymphoma].

作者信息

Duan Yong, Li Ge, Hu Hui-Xian

机构信息

Department of Hematology, Jinhua Municipal Central Hospital of Zhejiang Province, Jinhua, Zhejiang Province, China.

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2012 Jun;20(3):608-10.

Abstract

The study was aimed to investigate the clinical significance of serum lactate dehydrogenase (LDH), β2-microglobulin (β2-MG) and vascular endothelial growth factor (VEGF) detection in non-Hodgkin's lymphoma (NHL) patients. 58 newly diagnosed NHL patients from January 2010 to December 2011 in our hospital were selected as the study group (NHL group) and 58 healthy individuals were selected at the same time as a control group. Serum LDH level was determined by a biochemical method, while β2-MG and VEGF levels were determined by enzyme-linked immunosorbent assay. The results showed that as compared with control group, the LDH, β2-MG and VEGF levels in NHL group were significantly higher (P < 0.05). In NHL group, the LDH and VEGF levels at different pathological types and clinical stages changed remarkably. Compared with low grade patients, the LDH and VEGF levels of intermediate grade and high grade patients were significantly higher (P < 0.05). As compared with patients at stage I, the LDH and VEGF levels of patients at stage II, III and IV increased significantly (P < 0.05). Out from 58 cases in NHL group, 30 cases (51.72%) showed LDH-positive, 39 cases (67.24%) showed β2-MG positive and 29 cases (50.00%) showed VEGF-positive. It is concluded that some significant changes of serum LDH, β2-MG and VEGF appears in NHL patients, detection of these 3 tumor marker levels may be help to clinically grading patients with NHL.

摘要

本研究旨在探讨血清乳酸脱氢酶(LDH)、β2-微球蛋白(β2-MG)和血管内皮生长因子(VEGF)检测在非霍奇金淋巴瘤(NHL)患者中的临床意义。选取2010年1月至2011年12月在我院新诊断的58例NHL患者作为研究组(NHL组),同时选取58例健康个体作为对照组。采用生化方法测定血清LDH水平,采用酶联免疫吸附测定法测定β2-MG和VEGF水平。结果显示,与对照组相比,NHL组的LDH、β2-MG和VEGF水平显著升高(P<0.05)。在NHL组中,不同病理类型和临床分期的LDH和VEGF水平变化显著。与低级别患者相比,中级和高级别患者的LDH和VEGF水平显著升高(P<0.05)。与I期患者相比,II期、III期和IV期患者的LDH和VEGF水平显著升高(P<0.05)。NHL组58例患者中,30例(51.72%)LDH呈阳性,39例(67.24%)β2-MG呈阳性,29例(50.00%)VEGF呈阳性。结论:NHL患者血清LDH、β2-MG和VEGF出现一些显著变化,检测这3种肿瘤标志物水平可能有助于对NHL患者进行临床分级。

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