腺苷脱氨酶与溶菌酶检测在诊断结核性胸腔积液中的价值

The value of pleural adenosine deaminase and ratio of pleurallysozyme to serum lysozyme in the diagnosis of tuberculous pleural effusions

评价腺苷脱氨酶与溶菌酶检测时结核性胸腔积液的诊断价值。对108例诊断明确的胸腔积液患者进行胸水腺苷脱氨酶及胸水溶菌酶与血清溶菌酶之比值测定。结果结核性胸腔积液患者胸水中腺苷脱氨酶含量明显高于癌性胸腔积液组(P<0.05),胸水溶菌酶与血清溶菌酶之比明显高于癌性胸腔积液组(P<0.01)。

objective To evaluate the diagnostic value of pleural adenosine deaminase and ra- tio of pleural lysozyme to serum lysozyme in tuberculous pleural effusions. Methods 108 cases of pleural effusions identified by pathologically, were studied. Results (1)There was a marker higher ADA level in tuberculous pleural effusions than in malignant pleural effusions. (2)Ratio of pleual lysozyme to serum lysozyme was also higher in tuberculous pleural effusions than that in malignant pleural effusions. Conclusion These results suggest that ADA and ratio of pleural lysozyme to serum lysozyme may be a valuable adjunctive method in the diagnosis of tuberculous pleural effusions.