联合检测胸水D-二聚体、癌胚抗原对恶性胸腔积液的诊断价值

目的 探讨联合检测胸水D-二聚体(D-dimer,D-D)和癌胚抗原(CEA)对恶性胸腔积液的诊断价值.方法 回顾性分析36例结核性胸腔积液和32例恶性胸腔积液患者的胸水D-二聚体和癌胚抗原的检测资料.结果 恶性胸腔积液患者胸水的D-二聚体和癌胚抗原的含量均显著高于良性胸腔积液组(57.43±2.41)mg/L比(1...

Value of D-dimer and CEA in pleural effusions from malignant perfusions

Objective To explore the diagnostic value of malignant perfusions of D-D and CEA in pleural fluid.Methods The clinical data of the levels of D-D, CEA in pleural effusion of 36 hospitalized patients with benign pleural effusions and 32 patients with malignant perfusion were analyzed retrospectively. Rusults malignant pleural effusion of D-dimer and carcinoembryonic antigen levels were significantly higher than benign pleural effusion group ( 57.43 ± 2.41 ) mg/L vs ( 12.63 ± 3.23 ) mg/L;( 73.2 ± 6.43 ) μ g/L vs ( 4.15 ± 2.35 ) μ g/L, P＜ 0.05 )],Joint detection can improve the sensitivity of diagnosing malignant pleural effusion( 84.3％ )and accuracy ( 86.7％ )significantly higher than those in benign perfusions. Conclusiong Combined measurement of D-D ,CEA in pleural fluid has a preferable clinical value in defferential diagnosis of benign and malignant malignant perfusiongs.