摘要
目的:探讨经皮胸膜活检、胸水腺苷脱氨酶(ADA)、癌胚抗原(CEA)在胸腔积液中的诊断价值。方法:回顾性分析83例诊断明确的胸腔积液患者临床检查资料。结果:83例患者中,结核性胸膜炎59例,胸膜活检阳性34例,胸水ADA阳性54例,ADA均值(48.2±12.9)U/L,CEA阳性4例,CEA均值(6.7±5.5)μg/L。恶性胸腔积液24例,胸膜活检阳性11例,胸水CEA阳性15例,CEA均值(61.3±30.5)μg/L,ADA阳性4例,ADA均值(11.7±4.8)U/L。结论:经皮胸膜活检、胸水ADA、CEA检测对胸腔积液诊断有重要价值。
Objectlve:To discuss the diagnostic value of percutaneous pleural biopsy and adenosine deaminase (ADA) and carcinoembryonic antigen(CEA) in pleural effusion. Methods: Retrospective analysis of the data of 83 pleural effusion patients with evident diagnosis undergoing the pereutaneous pleural biopsy,ADA and CEA examination was performed. Results:In 83 eases,there were 59 patients with tubereulosis pleurisy and 24 patients with malignant pleural effusion. In tuberculosis pleurisy,34 cases were positive result in pleural biopsy,54 in ADA(48.2±12.9) and 4 in CEA(6.7±5.5). In malignant pleural effusion, 11 cases were positive result in pleural biopsy, 15 in CEA(11.7±4.8) and 4 in ADA(6.7±5.5).Conclusion:Percutaneous pleural biopsy,ADA and CEA play a significant role in the diagnosis of pleural effusion.
出处
《现代医药卫生》
2009年第2期189-191,共3页
Journal of Modern Medicine & Health
关键词
胸腔积液
胸膜活检
腺苷脱氨酶
癌胚抗原
Plettral effusion
Pleural biopsy
Adenosine deaminase(ADA)
Carcinoembryonic antigen(CEA)