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通过术前检测原发性大肠癌(74例)、大肠良性病(30例)和正常健康人(40例)周围静脉血清中CA_(50)水平(单抗IRMA法),发现大肠癌组明显高于大肠良性疾病组(P<0.01)和正常组(P<0.01).以正常人均数加两倍标准差为界值(14.07μ/ml),大肠癌阳性率为55.4%(A期28.6%、B期48.1%、C期50%、D期87.5%)。此外,CA_(50)水平在大肠癌Dukes’分期中(A7例、B期27例、C期24例、D期16例),D期明显高于其它各期(P<0.01),而A、B、C期之间无统计学意义(P>0.25)。肿瘤环绕肠管程度超过1/2者,CA_(50)水平高于未超过1/2者(P<0.01)。根治性手术者CA_(50)水平低于姑息性手术者(P<0.01)。CA_(50)水平正常者无一例肝转移;有肝转移者CA_(50)水平高于无肝转移者(P<0.01)。
Preoperative detection of primary colorectal cancer (74 cases), benign colorectal disease (30 cases) and normal healthy people (40 cases) peripheral blood serum levels of CA50 (monoclonal antibody IRMA method), found that the colorectal cancer group was significantly Higher than the colorectal benign disease group (P <0.01) and normal group (P <0.01). With a standard deviation of the normal number of patients plus twice the standard deviation (14.07μ/ml), the positive rate of colorectal cancer was 55.4% (28.6% in period A, 48.1% in period B, 50% in period C, and D). Period 87.5%). In addition, CA_(50) levels were significantly higher in the Dukes’ stage of colorectal cancer (A7, B, 27, C, 24, and D, D) than in the other phases (P<0.01). There was no significant difference between A, B and C phases (P>0.25). Tumor surrounding the intestine was more than 1/2, and the level of CA_(50) was higher than that of no more than 1/2 (P<0.01). The level of CA_(50) in radical surgery was lower than that in palliative surgery (P<0.01). There was no liver metastasis in patients with normal CA 50 levels; CA 50 levels in patients with liver metastases were higher than those without liver metastases (P < 0.01).