经皮胸膜活检胸水腺苷脱氨酶癌胚抗原检测对胸腔积液的诊断价值

Diagnostic value of percutaneous pleural biopsy and adenosine deaminase and carcinoembryonic antigen in pleural effusion

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.