Clinica Chimica Acta:母体血清阿尔法胎蛋白(AFP-L2和AFP-L3)变异在预测胎儿开放神经管缺损和腹壁缺损中的诊断准确性如何?

2020-06-22 MedSci原创 MedSci原创

本研究的目的是评估母体血清甲胎蛋白变异L2和L3(AFP-L2和AFP-L3)的风险模型,以预测胎儿开放性神经管缺损(ONTD)和腹壁缺损(AWD)。

本研究的目的是评估母体血清甲胎蛋白变异L2和L3(AFP-L2和AFP-L3)的风险模型,以预测胎儿开放性神经管缺损(ONTD)和腹壁缺损(AWD)。研究对象分为ONTD组(21例)、AWD组(16例)和对照组(38例)。采用风险模型进行比较分析,采用受试者工作特性(ROC)曲线和曲线下面积(AUC)对AFP-L2和AFP-L3进行筛查

研究结果显示,ONTD组和AWD组AFP-L2和AFP-L3浓度均显著高于对照组(P < 0.001)。使用AFP-L2筛选ONTD或AWD的AUC为0.830[95%置信区间(CI): 0.734-0.926, P < 0.001],而使用AFP-L3的AUC为0.886 (95% CI: 0.809-0.963, P < 0.001)。ROC曲线显示,AFP-L2和AFP-L3对ONTD或AWD的最佳阈值分别为中位数(MoM)的1.467倍和1.944倍。AFP-L2和AFP-L3的相应灵敏度、特异度和约登指数分别为0.703、0.947、0.650和0.730、0.974、0.703。

因此,不研究结果表明AFP-L2和AFP-L3是筛查ONTD和AWD胎儿的良好生物标志物,使用AFP-L2和AFP-L3的风险模型具有较高的敏感性和特异性。

原始出处

Yiming ChenXue WangThe diagnostic accuracy of maternal serum alpha-fetoprotein variants (AFP-L2 and AFP-L3) in predicting fetal open neural tube defects and abdominal wall defects

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    2021-02-19 windight
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    2020-07-01 mxj1971619
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