立体定向放射治疗对晚期肺腺癌患者血清CEA、CA125、CA153和TSGF表达的影响分析

Effect of stereotactic radiotherapy on expression of CEA, CA125, CA153, and TSGF in patients with advanced lung adenocarcinoma

  • 摘要:
    目的 探讨立体定向放射治疗对晚期肺腺癌患者血清癌胚抗原(CEA)、糖链抗原125(CA125)、糖链抗原125(CA153)和肿瘤特异生长因子(TSGF)表达的影响。
    方法 将烟台市烟台山区院2015年1月至2017年5月收治的92例晚期肺腺癌患者随机分为对照组(46例)和观察组(46例)。对照组:男性28例、女性18例,年龄(57.6±7.4)岁,采用紫杉醇联合顺铂化疗;观察组:男性30例、女性16例,年龄(58.2±8.1)岁,在对照组的基础上另给予立体定位放射治疗。对比2组患者的治疗效果、血清CEA、CA125、CA153和TSGF表达水平、并发症及预后。组间比较采用t检验和χ2检验,采用Kaplan-Meier生存曲线对生存率进行分析。
    结果 治疗后,观察组的治疗有效率为37.0%(17/46),对照组为17.4%(8/46),2组之间的差异有统计学意义(χ2=4.449,P=0.035);观察组患者的血清CEA、CA125、CA153和TSGF表达水平均明显低于对照组,差异有统计学意义(t=6.987~13.575,均P=0.000);2组并发症的发生率的差异无统计学意义(χ2=0.562,P=0.337);观察组的中位生存时间为13.6个月,对照组为10.2个月,差异有统计学意义(U=126.0,P<0.01)。
    结论 立体定向放射治疗能够促进肺腺癌的治疗效果,降低患者的血清肿瘤标志物水平,延长患者的生存时间,值得临床借鉴应用。

     

    Abstract:
    Objective To investigate the effects of stereotactic radiotherapy on the expression of serum carcinoembryonic antigen (CEA), glycoprotein antigen-125 (CA125), glycoprotein antigen-125 (CA153), and tumor specific growth factor (TSGF) in patients with advanced lung adenocarcinoma.
    Methods Ninety-two patients with advanced lung adenocarcinoma admitted to Yantai Yantai m ountain hospital from January 2015 to May 2017 were equally and randomly divided into a control 46 cases: 28 males and 18 females with the average of (57.6±7.4) and an observation group 46 cases: 30 males and 16 females with the average of (58.2±8.1). The control group was treated with paclitaxel and cisplatin chemotherapy. Stereotactic radiotherapy was given on the basis of the group. The therapeutic effects; serum CEA, CA125, CA153, and TSGF expression levels; complications; and prognosis of the two groups were compared. χ2 test and t test were used for the comparison among groups, and Kaplan Meier survival curve was used to analyze the survival rate.
    Results The effective rates were 37.0% (17/46) and 17.4% (8/46) in the observation and the control group, respectively. The difference was significant (χ2=4.449, P=0.035). The expression levels of serum CEA, CA125, CA153, and TSGF in the observation group were significantly lower than those in the control group (t=6.987–13.575, all P=0.000). No significant difference was observed in terms of complications (χ2=0.562, P=0.337). The median survival times were 13.6 and 10.2 months in the observation and the control group, respectively. The difference was significant (U=126.0, P<0.01).
    Conclusion Stereotactic radiography can promote lung adenocarcinoma therapy, reduce the level of serum tumor markers, and prolong the survival period of patients. Therefore, stereotactic radiography is worthy of clinical application.

     

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