Objective To explore the application of tumor markers AFP,CA125,CA199 and CEA in diagnosis and treatment for the patiants with viral hepatitis and liver cirrhosis,and estimate the values of 4 indicators in judgement of liver damage degree and early detection of liver cancer. Methods Automatic electrochemical technology of light was used to detect the serum AFP,CA125,CA199 and CEA levels in 102 patients with liver diseases (55 cases of chroic hepatitis,of which mild 24 cases,moderate 21 cases,severe 10 cases;47 cases of liver cirrhosis following hepatitis )and 22 healthy subjects.Results The AFP and CA199 levels in patients with chronic hepatitis were obviously higher than those in control group,the AFP levels in mild,moderate,and severe groups were 2.8,4.8, and 20.0 μg/L-1,the CA199 levels were 12.20,18.40 and 39.10 U/mL-1,it had a rising trend with disease progression(P< 0.05);the CA125 levels in chronic hepatitis patients were 7.95,18.08 and 54.32 U/mL-1,the CA125 levels in moderate and severe groups were higher than that in control group,the difference was statistically significant (P< 0.05);but there was no statistically significant difference between moderate and server groups(P> 0.05). The positive rates of AFP,CA199,and CA125 in patients with liver cirrhosis were 27.7%,55.3%, and 65.9%,and they were higher than those in hepatitis group (10.9%,25.5%,29.1%)(P< 0.05). The positive
rate of CEA had no significant difference between hepatitis and liver cirrhosis groups(P>0.05). The AFP,CA199, and CA125 in the patients with decompensated liver cirrhosis were 20.05 μg/L-1,53.03 U/mL-1, and 144.80 U/mL-1,and they were significantly higher than those in compenstatory cirrhosis(14.45 μg/L-1, 24.45 U/mL-1,and 30.10 U/mL-1 )(P< 0.05).Conclusion The AFP and CA199 levels are increaesd with the degree of liver damage,and they can be used as evaluation index of the non-invasive diagnosis of liver damage.For viral hepatitis and liver cirrhosis patients with AFP rising,dynamic monitoring of AFP level has the important meaning for early detection of liver cancer.CA125 can be used to identify compensatory cirrhosis with decompensated cirrhosis,and has early diagnosis value in trace ascites.