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目的 探讨 CEA对恶性心包积液的诊断价值。方法 用 CEA试剂盒检测恶性心包积液 31例及非恶性肿瘤性心包积液 43例的心包积液、血清的 CEA水平。结果 1恶性心包积液组 CEA为 1.6～ 2 86 ng/ ml,平均 6 1.7ng/ ml;对照组 CEA为 0 .3～ 11.8ng/ m l,平均 1.5 ng/ ml,两组比较 P <0 .0 1。 2恶性心包积液组的积液 CEA阳性率为 74.19% ,对照组为 11.6 3% ,两组间 P <0 .0 0 1;血清 CEA阳性率分别为 32 .2 6 %和 2 .33% ,恶性心包积液组与对照组其阳性率 P <0 .0 5。结论 1积液 CEA水平可作为恶性心包积液的诊断指标 ,有较高的敏感性及特异性 ;2可鉴别良、恶性心包积液 ,还可指导进一步查找原发病灶 ;3恶性心包积液检查积液的 CEA其价值明显大于血清中的 CEA价值
Objective To investigate the diagnostic value of CEA in malignant pericardial effusion. Methods CEA kit was used to detect pericardial effusion and serum CEA levels in 31 cases of malignant pericardial effusion and 43 cases of non-malignant tumor pericardial effusion. Results The CEA of 1 malignant pericardial effusion group was 1.6-286 ng / ml with an average of 6 1.7 ng / ml. The CEA of the control group was 0.3-1.11 ng / ml with an average of 1.5 ng / ml, P <0. 0 1. The positive rate of effusion CEA in malignant pericardial effusion group was 74.19%, in control group was 11.6%, P <0.01; the positive rate of serum CEA was 32.26% and 2.33% , Malignant pericardial effusion group and control group, the positive rate P <0. Conclusion 1 effusion CEA levels can be used as a diagnostic indicator of malignant pericardial effusion, with high sensitivity and specificity; 2 can identify benign and malignant pericardial effusion, but also guide to further find the primary lesion; 3 malignant pericardial effusion The value of effusion CEA was significantly greater than the value of CEA in serum