临床肿瘤学杂志

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弥漫大B细胞淋巴瘤患者血清乳酸脱氢酶、β2-微球蛋白联合检测的临床意义

赵淑清1,李军民2,陈丽2,杨晨敏1   

  1. 1 上海交通大学医学院附属瑞金医院卢湾分院血液科2 上海交通大学医学院附属瑞金医院血液科
  • 收稿日期:2015-06-12 修回日期:2015-09-27 出版日期:2015-12-31 发布日期:2015-12-31

Clinical significance of serum lactate dehydrogenase and β2-microglobulinin in patients with diffuse large Bcell lymphoma

ZHAO Shuqing, LI Junmin,CHEN Li,YANG Chenmin.

  

  1. Department of Hematology, RuiJin Hospital Luwan Branch, Medical College Shanghai Jiao Tong University
  • Received:2015-06-12 Revised:2015-09-27 Online:2015-12-31 Published:2015-12-31

摘要: 目的 探讨血清乳酸脱氢酶(LDH)、β2-微球蛋白(β2-MG)水平的联合检测对弥漫大B细胞淋巴瘤(DLBCL)的临床意义。方法 选择2009年1月至2014年6月我院收治的初治DLBCL患者58例,分别采用速率法和放射免疫分析法检测血清LDH和β2-MG表达水平,并分析其与DLBCL临床病理特征的关系;同时观察化疗有效组患者治疗前后LDH和β2MG表达水平的变化,评价其与疗效的关系。
结果 LDH和β2-MG水平在Ⅲ~Ⅳ期、ECOG评分≥2以及有骨髓浸润的患者中均明显升高(P<0.05);>60岁者的β2-MG水平高于≤60岁的患者 (P<0.05);有全身症状(B症状)组LDH水平明显高于无B症状组(P<0.05);LDH和β2-MG水平均与性别无关。治疗有效患者化疗后LDH、β2-MG水平较化疗前下降,差异有统计学意义(P<0.05)。结论 联合检测血清LDH和β2-MG水平可作为判断DLBCL患者的临床分期、是否存在骨髓浸润及评价疗效的临床指标。

Abstract: Objective To investigate the clinical significance of serum levels of lactate dehydrogenase(LDH) and β2-microglobulin(β2-MG) in diffuse large Bcell lymphoma(DLBCL). Methods The serum levels of LDH and β2-MG of 58 patients with DLBCL were measured by rate method and radioimmunoassay. Besides, the clinicopathological characteristics of the patients such as gender, age, B symptoms, clinical stages, ECOG score of performance status(ECOG-PS) and bone marrow invasion were summarized and anylyzed. Meanwhile, the association between the level change of LDH and β2-MG after chemotherapy and therapeutic effectiveness was also evaluated. Results The levels of LDH and β2MG in the advanced stage group,ECOG≥2 group, bone marrow invasion group were significantly higher than those of their counterpart (P<0.05).The level of β2MG in aged over 60 patients was higher than that of younger ones (P<0.05),but there was no statistical significance in the LDH level(P>0.05). The level of LDH in B symptoms group was higher than that of without B symptoms(P<0.05),but there was no statistical significance in the β2MG level(P>0.05). There was no statistical significance about LDH and β2MG levels in gender(P>0.05). The levels of LDH and β2-MG in positive response group significantly decreased after chemotherapy (P<0.05). Conclusion LDH and β2-MG can be taken as indicators in classifying the clinical phase and judging whether there is bone marrow infiltration or not, and evaluating the chemotherapeutic effectiveness of DLBCL patients.

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