心钠素、癌胚抗原在良恶性胸水鉴别诊断中价值的探讨

Values of atrial natriuretic peptide and carcinoembryonic antigen in differentiating benign and malignant pleural effusion Zhu Yiankun

目的 :比较心钠素、癌胚抗原在良恶性胸水鉴别诊断中的价值。方法 :检测 36例恶性胸水、32例结核性胸水的心钠素、癌胚抗原水平。结果 :心钠素诊断恶性胸水的敏感度及特异性为 80 6 %及 96 9% ;癌胚抗原则分别为 5 8 3%及 87 5 % ,两组结果差异显著。结论

Objective:To compare the value of atrial natriuretic peptide(ANP) and carcinoembrycric antigen(CEA) in differentiating benign and malignant pleural effusion.Methods:ANP and CEA in 32 tuberculous and 36 cancerous pleural effusion patients were detected.Results:The sensitivity of ANP was 80 6% and specificity 96 9% in diagnosing malignant pleural effusion,and sensitivity of CEA was 58 3% and specificity 87 5% and significant difference was found.Conclusion:ANP is better than CEA in malignant pleural effusion examination.