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CEA、CA-50检测对良恶性胸水诊断价值探讨
引用本文:高中度,袁维祥,茅爱武,王敏,蒋廷辉. CEA、CA-50检测对良恶性胸水诊断价值探讨[J]. 贵州医药, 2000, 24(8): 455-456
作者姓名:高中度  袁维祥  茅爱武  王敏  蒋廷辉
作者单位:上海同仁医院,200050
摘    要:目的 寻找简便有效的方法对良恶性胸水进行鉴别诊断。方法 采用放射免疫分析技术对健康对照组30例、已确诊的恶性胸心组15例、良性胸水组33例血清及胸水进行CEA、CA-50平行对照检测。结果 恶性胸水组血清及胸水CEA、CA-50水平显著高于良性胸水组。结论 提示对胸水进行CEA、CA-50检测有利于良恶性胸水鉴别诊断,且CEA、CA-50联合检测可提高恶性胸水诊断阳性率。

关 键 词:肿瘤相关抗原 CA-50 胸腔积液 胸水 鉴别诊断

A study on the CEA,CA-50 for the differential diagnosis of Benign and Malignant Hydrothorax
Gao Zhongdu,Yuan Weixiang,Mao Aiwu,et al.. A study on the CEA,CA-50 for the differential diagnosis of Benign and Malignant Hydrothorax[J]. Guizhou Medical Journal, 2000, 24(8): 455-456
Authors:Gao Zhongdu  Yuan Weixiang  Mao Aiwu  et al.
Affiliation:Gao Zhongdu,Yuan Weixiang,Mao Aiwu,et al. Shanghai St. Luke's Hospital,200050
Abstract:Objective To search an easy and effective method for the differential diagnosis between benign and malignant hyolrothorax. Methods The radioimmunoassay technique was used. The CA 50 and CEA level of serum and hydrothorax of 15 patients with malignant hydrothorax, 33 patients with benign hydrothorax, and 30 healthy persons as the control were determined by RIA. Results The CA 50 and CEA level of serum and hydrothorax in malignant hydrothorax were significant higher than those in benign hydrothorax( P <0 01) Conclusion It suggested that the hydrothorax CA 50 and CEA determination was effective for the differential diagnosis between benign and malignant hydrothoraxes. The positive diagnostic rate of malignant hydrothorax was increased when the combined determination of CA 50 and CEA.
Keywords:Tumor associated antigen CEA CA 50 pleural effusiond
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