河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
4期
576-578
,共3页
胸腔积液%腺苷脱氨酶%乳酸脱氨酶%癌胚抗原%鉴别诊断
胸腔積液%腺苷脫氨酶%乳痠脫氨酶%癌胚抗原%鑒彆診斷
흉강적액%선감탈안매%유산탈안매%암배항원%감별진단
Pleural effusion%Adenosine deaminase%Human lactate dehydrogenase%Carcino-embryonic antigen%Differential diagnosis
目的：探讨胸腔积液中腺苷脱氨酶（ADA）、乳酸脱氢酶（LDH）、癌胚抗原（CEA）对结核性胸膜炎和癌性胸腔积液的鉴别诊断价值。方法：检测所有胸腔积液患者胸液ADA、LDH、CEA ，分析52例已确诊为结核性胸膜炎（结核组）及54例癌性胸腔积液（恶性组）患者胸液ADA、LDH、CEA水平并进行比较。结果：结核组胸水ADA高于恶性组（P＜0．05），CEA低于恶性组（P＜0．01），差异非常显著。两组患者胸水LDH水平无明显差异。结论：胸水ADA、CEA对结核性胸膜炎和癌性胸腔积液的鉴别诊断有重要价值，LDH不能单独作为两者鉴别诊断的依据。
目的：探討胸腔積液中腺苷脫氨酶（ADA）、乳痠脫氫酶（LDH）、癌胚抗原（CEA）對結覈性胸膜炎和癌性胸腔積液的鑒彆診斷價值。方法：檢測所有胸腔積液患者胸液ADA、LDH、CEA ，分析52例已確診為結覈性胸膜炎（結覈組）及54例癌性胸腔積液（噁性組）患者胸液ADA、LDH、CEA水平併進行比較。結果：結覈組胸水ADA高于噁性組（P＜0．05），CEA低于噁性組（P＜0．01），差異非常顯著。兩組患者胸水LDH水平無明顯差異。結論：胸水ADA、CEA對結覈性胸膜炎和癌性胸腔積液的鑒彆診斷有重要價值，LDH不能單獨作為兩者鑒彆診斷的依據。
목적：탐토흉강적액중선감탈안매（ADA）、유산탈경매（LDH）、암배항원（CEA）대결핵성흉막염화암성흉강적액적감별진단개치。방법：검측소유흉강적액환자흉액ADA、LDH、CEA ，분석52례이학진위결핵성흉막염（결핵조）급54례암성흉강적액（악성조）환자흉액ADA、LDH、CEA수평병진행비교。결과：결핵조흉수ADA고우악성조（P＜0．05），CEA저우악성조（P＜0．01），차이비상현저。량조환자흉수LDH수평무명현차이。결론：흉수ADA、CEA대결핵성흉막염화암성흉강적액적감별진단유중요개치，LDH불능단독작위량자감별진단적의거。
Objective: To investigate diagnostic value of combined detection of adenosine deaminase ( ADA) , human lactate dehydrogenase ( LDH) , carcinoembryonic antigen ( CEA) measured jointly between tuberculous and malignant pleural effusion .Method:The levels of ADA , LDH, CEA in pleural effusion were detected in 52 patients with tuberculous pleural effusion ( tuberculous group ) and 54 patients with malignant pleural effusion ( malignant group ) statistical analysis .Result:In tuberculous group , ADA levels was signifi-cantly higher than those in malignant group (P<0.05), and CEA levels was significantly lower (P<0.01). There's no significant difference in patients with pleural effusion LDH levels in the two groups .Conclusion:It's important to differential diagnose tuberculous and malignant pleural effusion pleural fluid ADA , CEA. LDH is not alone as the basis for differential diagnosis .
