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CEA、CYFRA21-1和NSE联检对恶性胸腔积液的诊断价值
引用本文:陈晓笑.CEA、CYFRA21-1和NSE联检对恶性胸腔积液的诊断价值[J].放射免疫学杂志,2008,21(6):494-495.
作者姓名:陈晓笑
作者单位:南通大学第二附属医院呼吸科,226001
摘    要:目的:探讨CEA、CYFRA21-1和NSE联检对恶性胸腔积液的诊断价值。方法:采用放射免疫分析检测了40例恶性胸腔积液(恶性组)和32例结核性胸腔积液(结核组)血清和胸腔积液的CEA、CYFRA21-1和NSE的水平并计算其胸腔积液/血清(P/S)比值。结果:恶性胸腔积液组中胸腔积液CEA、CYFRA21-1和NSE水平及P/S比值明显高于结核组(P〈0.01)。CEA、CYFRA21-1和NSE单项检测恶性胸腔积液特异性最高的为CEA(90),敏感性最高为CYFRA21-1(83)。CEA、CYFRA21-1和NSE三项联检对恶性胸腔积液的敏感性为90,特异性为89。结论:CEA、CYFRA21-1和NSE三项肿瘤标志物联检可明显提高恶性胸腔积液的阳性诊断率,对恶性胸腔积液的诊断有较高的临床应用价值。

关 键 词:癌胚抗原  细胞角蛋白片段  神经元特异性烯醇化酶  恶性胸腔积液

Diagnostic Value of Combined Determination of Serum and Pleural Effusion CEA,CYFRA21-1 and NSE Levels in Patients with Malignancy
Chen Xiaoxiao.Diagnostic Value of Combined Determination of Serum and Pleural Effusion CEA,CYFRA21-1 and NSE Levels in Patients with Malignancy[J].Journal of Radioimmanology,2008,21(6):494-495.
Authors:Chen Xiaoxiao
Institution:Chen Xiaoxiao Second Affiliated Hospital of Nantong University,Nantong,Jiangsu(226001)
Abstract:Objective To study the clinical value of combined determination of serum and pleural effusion levels of CEA,CYFRA21-1 and NSE in patients with malignancy.Methods Serum and pleural effusion CEA,CYFRA21-1 and NSE levels were measured with RIA in 40 patients with malignant and 32 patients with tuberculous pleural effusions.Results The pleural effusion CEA,CYFRA21-1,NSE levels and pleural effusion serum levels ratio in maligant group were significantly higher than those in tuberculous group(P<0.01).The specific...
Keywords:CEA  CYFRA21-1  NSE  malignant pleural effusion  
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