论文部分内容阅读
目的:探讨腺苷脱氨酶等6项指标联合检测在胸腔积液性质鉴别诊断中的临床价值。方法:选取胸腔积液276例,其中结核组42例、恶性组91例和良性非结核组143例,每组均留取胸腔积液和血清检测胸腔积液和血清中的腺苷脱氨酶(ADA)、淀粉酶(AMY)、C-反应蛋白(CRP)、乳酸脱氢酶(LDH)、癌胚抗原(CEA)和血清-胸腹水白蛋白梯度(SAAG)。结果:结核组ADA和CRP非常显著高于恶性组和非结核良性组(P<0.01);恶性组AMY、CEA和LDH非常显著高于结核组和非结核组(P<0.01);非结核良性组SAAG非常显著高于结核组和恶性组(P<0.01)。结论:联合检测对于结核性、非结核性和恶性胸腔积液的鉴别诊断有较高参考价值。
Objective: To investigate the clinical value of the combined detection of six indexes of adenosine deaminase in the differential diagnosis of pleural effusion. Methods: 276 cases of pleural effusion were selected, including 42 cases of tuberculosis group, 91 cases of malignant group and 143 cases of benign non-tuberculosis group. Pleural effusion and serum were detected in each group by pleural effusion and serum adenosine deaminase ADA, AMY, CRP, LDH, CEA and SAAG were measured. Results: The levels of ADA and CRP in tuberculosis group were significantly higher than those in benign and malignant tuberculosis (P <0.01). The levels of AMY, CEA and LDH in tuberculosis group were significantly higher than those in tuberculosis group and non-tuberculosis group (P <0.01) Group SAAG was significantly higher than tuberculosis group and malignant group (P <0.01). Conclusion: The combined detection of tuberculous, non-tuberculous and malignant pleural effusion has a higher reference value of the differential diagnosis.