| 摘要: | 
			 
		     | 目的探讨血清中期因子(S-MK)检测对非小细胞肺癌(NSCLC)辅助诊断的价值。方法选择NSCLC患者120例(观察组),同期因肺部良性肿瘤住院的患者62例(肺良性肿瘤组)及健康对照组64例,采用ELISA法测定观察组患者术前及术后(S-MK)水平,以及肺良性肿瘤组和健康对照组的S-MK水平。结果NSCLC组(术前)S-MK水平为(285.70±20.52)pg/ml,高于肺良性肿瘤组(211.88±15.69)pg/ml和健康对照组(189.06±12.92)pg/ml(t=2.402、3.257,均P<0.01)。NSCLC组(术后1个月时)S-MK水平(218.26±10.77)pg/ml,低于术前(285.70±20.52)pg/ml,差异有统计学意义(t=3.303,P<0.01)。结论NSCLC患者S-MK水平升高,且术后出现一定程度的下降,S-MK水平可作为一种临床肿瘤标志物,为NSCLC的诊断、疗效评价提供一定的依据。 | 
			
	         
				| 关键词:  中期因子  非小细胞肺癌  肿瘤标记物  预后 | 
			 
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                | 基金项目:湖州市级一般公益性科研基金项目 | 
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                | Detection  of  serum  midkine  in  patients  with  non-small  cell  lung  cancer  and  its  clinical  significance | 
           
			
                | GU Qinhua, SHEN Qibin, LI Dong, XIE Zhonghai, LI Hongwei | 
           
		   
		   
                | Huzhou Central Hospital | 
		   
             
                | Abstract: | 
			
                | Objective To detect serum midkine (S-MK) in patients with non-small cell lung cancer (NSCLC) and to evaluate its clinical significance. Methods The S-MK values were measured by enzyme-linked immunosorbent assay (ELISA) in 64 healthy controls, 62 patients with benign lung disease(LBD), and 120 patients with NSCLC before surgery. The S-MK values were re-examined in NSCLC patients 1 month after surgery. Results The S-MK  values  in  patients  with  NSCLC were significantly higher than those in patients with LBD or healthy controls (285.70±20.52pg/ml vs. 211.88±15.69pg/ml or 189.06± 12.92, P<0.01). S-MK significantly decreased in NSCLC patients 1month after surgery(218.26±10.77 pg/ml, P<0.01). Conclu- sion    The S-MK may be a useful serologic tumor biomarker for diagnosis and prognosis of NSCLC. | 
	       
                | Key words:  Midkine    Non-small cell lung cancer    Tumor biomarker    Prognosis |