良、恶性胸水癌胚抗原和铁蛋白含量比较研究

Study on carcinoembryonic antigen and ferritin in benign and malignant pleural effusion

为探讨良性和恶性胸水的鉴别诊断，对３０例良性胸水、１５例癌性胸水患者进行血清及胸水的癌胚抗原、铁蛋白联合测定，结果发现恶性胸水组的血清、胸水癌胚抗原明显高于良性胸水组（Ｐ＜０．０１）；癌性胸水的癌胚抗原也明显高于其血清癌胚抗原（Ｐ＜０．０５）；恶性胸水组的血清、胸水铁蛋白也明显高于良性胸水组（Ｐ＜０．０５）。资料表明，胸水癌胚抗原和铁蛋白测定对良、恶性胸水有鉴别诊断价值。

To research the identification of benign and malignant pleural effusion,carcinoembryonic antigen(CEA) and ferritin of serum and pleural effusion in 45 patients were assayedAmong them,there were 15 patients in malignant group,and 30 patients in benign groupThe result showed that CEA of serum and pleural effusion in malignant group were significantly higher than that in benign group(P<001)CEA of pleural effusion was significantly higher than that of serum in malignant group (P<005)Also,ferritin of serum and pleural effusion in malignant group was significantly higher than that of benign group (P<005)Conclusion:The assay of CEA and ferritin in pleural effusion is valuable in identification of benign and malignant pleural effusion \ \