摘要
本文对51例胸液患者(其中结核性31例,癌性20例)进行胸液癌胚抗原、溶菌酶、β_2-微球蛋白、铁蛋白测定。结果表明,结核组和癌性组各项指标均有显著差异。本文确定了胸液单项指标的界限值,并对胸液单项指标和多指标联合检测的诊断效果作了探讨。其中以癌胚抗原、溶菌酶、铁蛋白3项中的两项或两项以上阳性或阴性为诊断依据,可提高诊断符合率和准确率。
The measurement of multiple parameters including carcinoembryonicantigen (CEA), Lysozyme (LZM), β_2-Microglobulin (β_2-MG), Ferritin(Ft)in 31 patients with tuberculosis effusison and 20 patients withcarcinomatous effusion were studied. The result demonstrates thatevery one of four parameters has a significantly deference betweenTB-group and carcinomatousgroup. Acording our data, the moreeffective cobination seemed to be CEA plus LZM and Ft. We recognizedthat bases on all negative or positive of 2 or over 2 of the threeparameters as diagnostic criteria for differentiation of tuberculosis andcarcinomatous effusion may be increase the sensitivity and specificityof diagnosis in two groups effusion.
关键词
胸液检验
结核性胸膜炎
癌性胸膜为
pleural effusion
carcinoembryonic antigen
lysozyme
β_2-microglobulin
ferritin
