国际生殖健康/计划生育 ›› 2020, Vol. 39 ›› Issue (2): 97-100.

• 论著 • 上一篇    下一篇

中重度子宫内膜异位症患者血清中抗核抗体、抗心磷脂抗体和抗β2糖蛋白1抗体的检测价值

张园,蒋春艳,吴畏,马翔,黄洁,冒韵东,刘嘉茵,舒黎   

  1. 210029 南京医科大学第一附属医院生殖医学科
  • 收稿日期:2019-11-19 修回日期:2020-01-14 出版日期:2020-03-15 发布日期:2020-03-15
  • 通讯作者: 舒黎,E-mail:drshuli@163.com E-mail:drshuli@163.com
  • 基金资助:
    国家自然科学基金(81671438);国家重点研发计划(2017yfc1001303);江苏省高校优势学科建设项目(JX10231802)

Detective value of anti-nuclear antibodies, anti-cardiolipin antibodies and anti-β2 Detection of Antinuclear Antibody, Anticardiolipin Antibody and Anti-β2 Glycoprotein 1 Antibody in Patients with Moderate or Severe Endometriosis

ZHANG Yuan,JIANG Chun-yan,WU Wei,MA Xiang,HUANG Jie,MAO Yun-dong,LIU Jia-yin,SHU Li   

  1. Department of Reproductive Medicine,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China
  • Received:2019-11-19 Revised:2020-01-14 Published:2020-03-15 Online:2020-03-15
  • Contact: SHU Li,E-mail:drshuli@163.com E-mail:drshuli@163.com
  • Supported by:
     

摘要: 目的:评估中重度子宫内膜异位症(EMs)患者在体外受精/胞浆内单精子注射(IVF/ICSI)前检测血清抗核抗体(ANA)、抗心磷脂抗体(aCL)和抗β2糖蛋白1抗体(aβ2GP1)的临床价值。方法:收集2018年1月—2019年4月在南京医科大学第一附属医院生殖医学科接受IVF/ICSI助孕的中重度EMs患者(EMs组,86例)和因男方因素拟行IVF/ICSI助孕的女性患者(对照组,82例)为研究对象,收集血清,采用免疫荧光法检测ANA,酶联免疫吸附法检测aCL和aβ2GP1。结果:EMs组3项抗体中至少1项抗体阳性的阳性率为31.40%(27/86),而对照组的阳性率为12.19%(10/82),2组比较差异有统计学意义(P<0.05);ANA组aCL总阳性率为5.81%(5/86),稍高于对照组[1.22%(1/82)],2组比较差异无统计学意义(P>0.05);EMs组aCL总阳性率为13.95%(12/86),稍高于对照组[6.10%(5/82)],2组比较差异无统计学意义(P>0.05);EMs组aβ2GP1阳性率为16.28%(14/86),高于对照组[6.10%(5/82)],差异有统计学意义(P<0.05)。结论:对中重度EMs患者推荐在IVF/ICSI助孕前进行血清ANA、aCL和aβ2GP1联合筛查,中重度EMs患者aβ2GP1阳性率较高,值得临床关注。

关键词: 抗体, 抗核, 抗心磷脂抗体, 抗体, 抗心脂, 抗体, 抗磷脂, 抗β2糖蛋白1抗体, 子宫内膜异位症, 酶联免疫吸附测定;, 荧光免疫测定

Abstract: Objective: To evaluate the detections of antinuclear antibody (ANA), anticardiolipin antibody (ACL) and anti-β2 glycoprotein 1 antibody (aβ2GP1) in patients with moderate and severe endometriosis before IVF/ICSI treatment. Methods:From January 2018 to April 2019, 86 patients with moderate and severe endometriosis (EMs group, 86 cases) and 82 women who were planned to undertake IVF/ICSI treatment due to male factors (control group, 82 cases) were collected as the subjects. The level of serum ANA was detected by immunofluorescence, and the levels of ACL and aβ2GP1 antibodies were detected by enzyme-linked immunosorbent assay. Results:The total positive rate of at least one antibody positive in the EMs group was 31.40% (27/86), while that in the control group was 12.19% (10/82). The difference between the two groups was statistically significant (P<0.05); The total positive rate of ANA in the EMs group [5.81% (5/86)] was slightly higher than that in the control group [1.22% (1/82), but P>0.05]. The total positive rate of ACL in the EMs group [13.95% (12/86)] was also slightly higher than that in the control group [6.10% (5/82), but P>0.05]. Interestingly, the total positive rate of aβ2GP1 in the EMs group [16.28% (14/86)] was significantly higher than that in the control group [6.10% (5/82), P<0.05]. Conclusions:The combined screening of serum ANA, ACL and aβ2GP1 is recommended for patients with moderate and severe endometriosis before IVF/ICSI treatment. The positive rate of aβ2GP1 in patients with moderate and severe endometriosis is high, which deserves clinical attention.

Key words: Antibodies, antinuclear;Anti-nuclear antibody;Antibodies, anticardiolipin;Antibodies, antiphospholipid;, Anti-β2-glycoprotein 1 antibody;, Endometriosis;, Enzyme-linked immunosorbent assay;, Fluoroimmunoassay

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