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The correlation between serum CA125, hs-CRP, and NLR and pelvic endometriosis stage and their predictive value in diagnosis |
QIAN Yan JIN Maosheng YE Guoliu |
Department of Obstetrics and Gynecology, the First Affiliated Hospital of Bengbu Medical College, Anhui Province, Bengbu 233000, China |
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Abstract Objective To analyzed the correlation between serum carbohydrate antigen 125 (CA125), high sensitivity C-reactive protein (hs-CRP), and neutrophil/lymphocyte ratio (NLR) and pelvic endometriosis (EMT) and their predictive value in diagnosis. Methods A total of 114 patients diagnosed and treated in the First Affiliated Hospital of Bengbu Medical College (hereinafter referred to as “our hospital”) from August 2018 to August 2020 and confirmed as EMT by postoperative pathology were selected as EMT group, 92 patients with simple ovarian cyst confirmed by postoperative pathology were selected as control group. General, clinical, and surgical information of two groups were collected. The correlation of serum CA125, hs-CRP, and NLR with EMT stage and their predictive value in diagnosis were analyzed. Results Serum CA125, hs-CRP, and NLR in EMT group were higher than those in control group (P<0.05). Serum CA125, hs-CRP, and NLR in stage Ⅲ EMT patients were higher than those in stage Ⅰ+Ⅱ, and the serum CA125, hs-CRP, and NLR in stage Ⅳ EMT patients were higher than those in stage Ⅰ+Ⅱ and Ⅲ (P<0.05). Serum CA125, hs-CRP, and NLR levels were positively correlated with the clinical stage of EMT (r>0, P<0.05). The area under the curve of the combined detection of CA125, hs-CRP, and NLR in diagnosis of EMT was higher than that of CA125, hs-CRP, and NLR alone. Conclusion The combined detection of CA125, hs-CRP, and NLR can be provided a partial reference value for the diagnosis of EMT.
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[1] Kho Lily CL,Goh C,et al. Isolated Bladder Endometriosis in a Patient With Previous Cesarean Sections [J]. J Med Cases,2020,11(11):370-373.
[2] Kasheh Farahani Z,Taherianfard M,Naderi MM,et al. Assessing Pain Behavioral Responses and Neurotrophic Factors in the Dorsal Root Ganglion,Serum and Peritoneal Fluid in Rat Models of Endometriosis [J]. J Family Reprod Health,2020,14(4):259-268.
[3] Pécheux O,Dilé P,Kerbage Y,et al. Predictive value of 4th post-operative-day CRP in the early detection of complications after laparoscopic bowel resection for endometriosis [J]. J Gynecol Obstet Hum Reprod,2021,50(9):102148.
[4] 中华医学会妇产科学分会子宫内膜异位症协作组.子宫内膜异位症的诊治指南[J].中华妇产科杂志,2015,50(3):161-169.
[5] 吴亚男,李红霞,霍志平,等.不同R-AFS分期子宫内膜异位症患者血清CA125及BDNF检测及其诊断价值[J].临床和实验医学杂志,2019,18(10):1077-1079.
[6] Pourang A,Ornelas J,Fung MA,et al. Umbilical endometriosis:When a dermatologist helps diagnose infertility [J]. Int J Womens Dermatol,2020,6(5):460-461.
[7] Tian Z,Wang Y,Zhao Y,et al. Serum and peritoneal fluid leptin levels in endometriosis:a systematic review and meta- analysis [J]. Gynecol Endocrinol,2021,37(8):689-693.
[8] 韩倩,时光,赵瑞华.血清CA125在子宫内膜异位症的临床应用价值[J].中国妇产科临床杂志,2019,20(1):94-96.
[9] Lycke M,Ulfenborg B,Malchau Lauesgaard J,et al. Consideration should be given to smoking,endometriosis,renal function(eGFR)and age when interpreting CA125 and HE4 in ovarian tumor diagnostics [J]. Clin Chem Lab Med,2021, 59(12):1954-1962.
[10] Anastasiu CV,Moga MA,Elena Neculau A,et al. Biomarkers for the Noninvasive Diagnosis of Endometriosis:State of the Art and Future Perspectives [J]. Int J Mol Sci,2020,21(5):1750.
[11] Chen T,Wei JL,Leng T,et al. The diagnostic value of the combination of hemoglobin,CA199,CA125,and HE4 in endometriosis [J]. J Clin Lab Anal,2021,35(9):e23947.
[12] Sasamoto N,DePari M,Vitonis AF,et al. Evaluation of CA125 in relation to pain symptoms among adolescents and young adult women with and without surgically-confirmed endometriosis [J]. PLoS One,2020,15(8):e0238043.
[13] Ding S,Lin Q,Zhu T,et al. Is there a correlation between inflammatory markers and coagulation parameters in women with advanced ovarian endometriosis? [J]. BMC Womens Health,2019,19(1):169.
[14] Bullon P,Navarro JM. Inflammasome as a Key Pathogenic Mechanism in Endometriosis [J]. Curr Drug Targets,2017, 18(9):997-1002.
[15] Topdagi Yilmaz EP,Topdagi YE,Al RA,et al. The relationship between C-reactive protein,carbohydrate antigen 125,and hematological parameters to endometriotic nodule localization in pelvis [J]. J Chin Med Assoc,2020,83(6):577-581.
[16] Scattarelli A,Carriou M,Boulet L,et al. C-reactive protein assessment to predict early septic complications after laparoscopic bowel resection for endometriosis:a diagnostic study [J]. BJOG,2019,126(9):1176-1182.
[17] Kim H,Choi YS,Kim JS,et al. Identification of Serum Biomarkers for Diagnosis of Endometriosis Using Multiplex Immunoassays [J]. Reprod Sci,2020,27(5):1139-1147.
[18] 姜明霞,朱慧杰.CA125、C-反应蛋白及金属基质蛋白酶-9与中重度子宫内膜异位症的关系[J].中国实用医刊,2011,38(18):119-120.
[19] Kokot I,Piwowar A,J?誰dryka M,et al. Diagnostic Significance of Selected Serum Inflammatory Markers in Women with Advanced Endometriosis [J]. Int J Mol Sci,2021,22(5):2295.
[20] 费明明,童飞,陶小根,等.中性粒细胞/淋巴细胞比值对新型冠状病毒肺炎患者疾病分型的诊断价值[J].中华危重病急救医学,2020,32(5):554-558.
[21] 刘培,刘苗,叶剑荣,等.中性粒细胞-淋巴细胞比值及血小板-淋巴细胞比值与SLE疾病活动度的相关性分析[J].中国免疫学杂志,2019,35(15):1887-1890,1896.
[22] Turgut A,Hocaoglu M,Ozdamar O,et al. Could hematologic parameters be useful biomarkers for the diagnosis of endometriosis? [J]. Bratisl Lek Listy,2019,120(12):912-918.
[23] 曾瑞璜,王小林,曾叶,等.基于数据挖掘模型分析CA125、NLR、PLR、hs-CRP联合检测对社区获得性肺炎伴胸腔积液的临床意义[J].检验医学,2020,35(11):1103-1107.
[24] 罗卓夫,何渊民,许飏.Lp-PLA2、NLR及CRP对成人过敏性紫癜复发的预测价值[J].标记免疫分析与临床,2020,27(6):1001-1005.
[25] 高敏,王巍,宋楠,等.术前NLR、PLR和CA125水平对子宫内膜癌预后的评估价值[J].中国生育健康杂志,2021, 32(6):519-523.
[26] 王绍荣,李宏,唐春梅.CD44、CD133和NLR与胃癌病理特征的关系及对预后评估的意义[J].实用癌症杂志,2020,35(11):1770-1773. |
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