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The expression and diagnostic value of CXCL16 in patients with endometriosis |
CHEN Huixian1 ZHANG Zhenzhen2 WAN Guiping2▲ |
1.The Third Clinical Medicine, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210046;
2.Department of Gynaecology and Obstetrics, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210028 |
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Abstract Objective To investigate the diagnostic value of human CXC chemokine ligand 16 (CXCL16) in the diagnosis of endometriosis. Methods Forty-seven patients who underwent laparoscopic surgery from January 2016 to December 2017 in Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine were selected, and were divided into observation group with endometriosis (27 cases) and control group without endometriosis (20 cases). All the levels of serum CXCL16 were tested and the receiver operating characteristic curve (ROC curve) was drawn in order to evaluate the diagnostic value. Results The serum CXCL16 levels in observation group were significantly higher than those in control group, the difference was statistically significant (P < 0.05). Patients with different menstrual stages (follicular phase, ovulation phase, luteal phase) was found had no statistically significant difference (P > 0.05). The CXCL16 leves of patients in stage Ⅲ and Ⅳ endometriosis were significantly lower than that in stage Ⅰ (P < 0.05), and had no statistical difference with stage stage Ⅱ patients (P > 0.05). The ROC curve analysis showed that the area under the ROC curve was 0.768, CI:0.63-0.905, and the cutoff value of the highest total of specificity and sensitivity was 0.9750, specificity was 50% and sensitivity was 96.3%. Conclusion The serum CXCL16 is a valuable biomarker and it may provide a simple, non-invasive tool for the diagnosis of endometriosis.
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