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肺癌患者血清与支气管肺泡灌洗液四项放免肿瘤指标同步检测的结果分析
引用本文:龚严,王季民,周均.肺癌患者血清与支气管肺泡灌洗液四项放免肿瘤指标同步检测的结果分析[J].中国医师进修杂志,1999(2).
作者姓名:龚严  王季民  周均
作者单位:大连市第五人民医院(龚严),大连市同济医院(王季民),大连市第二人民医院(周均)
摘    要:对38例肺癌患者的血清和支气管肺泡灌洗液(BALF)同步进行CEA、CA-50、AFP、SF的检测。结果显示:肺癌BALF的CEA浓度测值73%明显高于血清中CEA浓度;CA-50浓度测值68%高于血清;SF92%明显低于血清中测值;而AFP在肺癌患者无论血清及灌洗液中,阳性率均低于7%,但仍是BALF的浓度测值敏感于血清。提示支气管肺泡灌洗液的CEA、CA-50与血清的同步检测是目前肺癌早期诊断的主要优选方法之一。

关 键 词:肺癌  支气管肺泡灌洗液  血清CEA  CA-50

ANALYSIS OF SERUM AND BRONCHIAL LAVAGE FLUIDS BY FOUR KIND OF RADIOIMMUNOASSAY ASSAY IN PATIENTS WITH LUNG CANCER
Gong Yan,Dalian Fifth People's Hospital .Wang Jimin,Dalian Tong Ji Hospital .Zhou Jun Dalian second People's Hospital..ANALYSIS OF SERUM AND BRONCHIAL LAVAGE FLUIDS BY FOUR KIND OF RADIOIMMUNOASSAY ASSAY IN PATIENTS WITH LUNG CANCER[J].Chinese Journal of Postgraduates of Medicine,1999(2).
Authors:Gong Yan  Dalian Fifth People's Hospital Wang Jimin  Dalian Tong Ji Hospital Zhou Jun Dalian second People's Hospital
Institution:Gong Yan,Dalian Fifth People's Hospital 116021.Wang Jimin,Dalian Tong Ji Hospital 116021.Zhou Jun Dalian second People's Hospital.116011
Abstract:The simultaneous analysis of CEA,CA-50,AFP and SF in serum and bronchial lavage fluids for thirty-eight cases suffering from Iung cancer shows that CEA concentration in BALF is 73 percent,much higher than it in serum,CA-50 concentration is 68 percent,higher than it in serum,SF is 92 percent,obviously lower than it in serum,and both therates of positive reaction of AFP in patients' serum and lavage fluids are lower than 7 percent.The result shows that the measurement of BALF concentration is sensitive to serum.So we can come to the conclusion that the simultaneous analysis of CEA,CA-50 in bronchial lavage and serum is one of the best ways to diagnose early lung cancer at present.
Keywords:Lung cancer\ Bronchial lavage fluids\ Serum CEA CA-50
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