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癌胚抗原、腺苷脱氨酶、结核抗体联合检测在诊断结核性和肿瘤性胸水中的意义
引用本文:杨艳荣,高婧,胡瑞华.癌胚抗原、腺苷脱氨酶、结核抗体联合检测在诊断结核性和肿瘤性胸水中的意义[J].现代保健,2010(5):80-81.
作者姓名:杨艳荣  高婧  胡瑞华
作者单位:[1]新乡医学院第一附属医院,453000 [2]山东省威海市中心医院高区分院,453000
摘    要:目的探讨胸腔积液患者胸水癌胚抗原(CEA)、腺苷脱氨酶(ADA)、结核抗体水平在诊断结核性胸水和恶性胸水中的临床意义。方法分别测定70例恶性胸水与62例结核性胸水患者胸水中的癌胚抗原、腺苷脱氨酶、结核抗体。结果恶性组患者胸水CEA水平明显高于结核性组,两组差异有统计学意义(P〈0.01),而结核性胸水ADA和结核抗体阳性率高于恶性胸水。结论检测患者胸水癌胚抗原(CEA)、腺苷脱氨酶(ADA)、结核抗体阳性率水平有助于临床对胸水性质的诊断。

关 键 词:胸腔积液  癌胚抗原  腺苷脱氨酶  结核抗体

The clinical significance of carcino - embryonic antigen, adenosine deaminase and tubercle antibody in the differential diagnosis of pleurni effusion
Institution:YANG Yah - rong , GAO Jing , HU Rut - hua(First Affiliated Hospital of Xinxiang Medical College, Xinxiang 453000, China)
Abstract:Objective To study the clinical significance of carcino - embryonic antigen ( CEA ), adenosine deaminase(ADA) and tubercle antibody in the differential diagnosis of pleural effusion. Methods ltydrothorax samples were collected from 132 in patients with pleural effusion. Among them ,70 patients were suffered with malignant pleural effusion and 62 patients with tubercle pleural effusion. The concentration of CEA, ADA and tubercle antibody was determined. Results Content hydrothorax CEA in malignant group were significantly higher than that in tubercle pleural effusion (P 〈 0.01 ), content hydrothorax ADA and tubercle antibody in tubercle pleural effusion were significantly higher than that in malignant group. Conclusion CEA,ADA and tubercle antibody has high clinical values in the differential diagnosis of pleural effusion.
Keywords:Pleural effusion  Carcino - embryonic antigen  Adenosine deaminase  Tubercle antibody
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