现代肿瘤医学
現代腫瘤醫學
현대종류의학
JOURNAL OF MODERN ONCOLOGY
2015年
9期
1236-1238
,共3页
胸腔积液%肺癌%肿瘤标志物
胸腔積液%肺癌%腫瘤標誌物
흉강적액%폐암%종류표지물
pleural effusion%lung cancer%tumor marker
目的:对比分析良恶性胸腔积液的临床特征,筛选恶性胸腔积液可能的预测因素。方法:收集良性胸腔积液患者30人和恶性胸腔积液患者32人的临床资料,分析胸腔积液及血液学相关指标(胸腔积液物理性状、胸腔积液和血液学生化、肿瘤标志物)。结果:恶性胸腔积液患者的年龄明显高于良性胸腔积液患者,但二者在性别分布上无差异。恶性胸腔积液的乳酸脱氢酶(LDH)、腺苷脱氨酶(ADA)、γ-干扰素(γ- IFN)显著低于良性胸腔积液,而癌胚抗原(CEA)、糖类抗原(CA19-9)、神经特异性烯醇化酶(NSE)显著高于良性胸腔积液(P 均<0.05)。两组患者血液 LDH、ADA、CEA、CA19-9的差异也具有统计学意义。条件 Logistic回归分析发现 CEA >10ng/ ml、血性胸腔积液、ADA <15U/ ml、CA19-9>20U/ ml 为恶性胸腔积液的预测因素。结论:非肿瘤标志物(如胸水颜色、ADA 值)也有助于胸腔积液性质的判断。恶性胸腔积液的预测作用由大到小依次为 CEA、血性胸腔积液、ADA、CA19-9。
目的:對比分析良噁性胸腔積液的臨床特徵,篩選噁性胸腔積液可能的預測因素。方法:收集良性胸腔積液患者30人和噁性胸腔積液患者32人的臨床資料,分析胸腔積液及血液學相關指標(胸腔積液物理性狀、胸腔積液和血液學生化、腫瘤標誌物)。結果:噁性胸腔積液患者的年齡明顯高于良性胸腔積液患者,但二者在性彆分佈上無差異。噁性胸腔積液的乳痠脫氫酶(LDH)、腺苷脫氨酶(ADA)、γ-榦擾素(γ- IFN)顯著低于良性胸腔積液,而癌胚抗原(CEA)、糖類抗原(CA19-9)、神經特異性烯醇化酶(NSE)顯著高于良性胸腔積液(P 均<0.05)。兩組患者血液 LDH、ADA、CEA、CA19-9的差異也具有統計學意義。條件 Logistic迴歸分析髮現 CEA >10ng/ ml、血性胸腔積液、ADA <15U/ ml、CA19-9>20U/ ml 為噁性胸腔積液的預測因素。結論:非腫瘤標誌物(如胸水顏色、ADA 值)也有助于胸腔積液性質的判斷。噁性胸腔積液的預測作用由大到小依次為 CEA、血性胸腔積液、ADA、CA19-9。
목적:대비분석량악성흉강적액적림상특정,사선악성흉강적액가능적예측인소。방법:수집량성흉강적액환자30인화악성흉강적액환자32인적림상자료,분석흉강적액급혈액학상관지표(흉강적액물이성상、흉강적액화혈액학생화、종류표지물)。결과:악성흉강적액환자적년령명현고우량성흉강적액환자,단이자재성별분포상무차이。악성흉강적액적유산탈경매(LDH)、선감탈안매(ADA)、γ-간우소(γ- IFN)현저저우량성흉강적액,이암배항원(CEA)、당류항원(CA19-9)、신경특이성희순화매(NSE)현저고우량성흉강적액(P 균<0.05)。량조환자혈액 LDH、ADA、CEA、CA19-9적차이야구유통계학의의。조건 Logistic회귀분석발현 CEA >10ng/ ml、혈성흉강적액、ADA <15U/ ml、CA19-9>20U/ ml 위악성흉강적액적예측인소。결론:비종류표지물(여흉수안색、ADA 치)야유조우흉강적액성질적판단。악성흉강적액적예측작용유대도소의차위 CEA、혈성흉강적액、ADA、CA19-9。
Objective:To compare the clinical characteristics between malignant pleural effusion(MPE)and non- malignant pleural effusion(NMPE)and the predictive factors of MPE. Methods:A total of 32 MPE patients and 30 NMPE patients were enrolled in this study. The parameters(physical characteristics,biochemical index and tumor markers)of pleural effusion and plasma were analyzed. Results:The MPE patients were older than NMPE patients. There were remarkably lower LDH,ADA and γ - IFN in MPE than those in NMPE. The MPE patients had a signifi-cantly higher CEA,CA19 - 9,NSE in both pleural effusion and plasma than NMPE patients. CEA > 10ng/ ml,bloody pleural effusion,ADA < 15U/ ml and CA19 - 9 > 20U/ ml were the predictive factors for MPE. Conclusion:The non -tumor markers such as ADA are of value to identify the nature of pleural effusion. The predictive power for MPE are CEA,bloody pleural effusion,ADA and CA19 - 9 in sequence.