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胸水和血浆癌胚抗原测定对鉴别良恶性胸腔积液的临床意义

Clinical importance of changes in pleual effusion CEA and plasmaCEA in differentiating benign and malignant pleural effusion

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【摘要】 本文对12例肺癌合并胸腔积液及12例结核性渗出性胸膜炎患者进行了胸水及血浆癌胚抗原(CEA)测定,结果显示肺癌患者胸水及血浆CEA均显著高于结核性胸膜炎患者(P<0.01)。肺癌患者中多数(8/12)胸水CEA>20ng/ml,虽有4例患者胸水CEA<10ng/ml,但其胸水CEA为血浆CEA的两倍或以上,提示测定胸水CEA及其与血浆CEA的比值有助于鉴别良恶性胸腔积液。

【Abstract】 Pleural effusion CEA and plasma CEA were detected in 12 cases of lung cancer with malig- nant pleural effusion and 12 cases of tuberculous pleural with effusion.The two kinds of CEA lev- els were significantly increased in patients with lung cancer(P<0.01).Effusion CEA level was above 20ng/ml during most of 1ung cancer with malignant pleural effusion(8/12).Though effu- sion CEA level was below 10ng/ml in 4 cases of lung cancer,the ratioe of effusion CEA and plas- ma CEA was equal to or big to two.It is suggested the detection of pleural effusion CEA and plasma CEA would help to differentiate benign and malignant pleural effusion.

【关键词】 癌胚抗原胸腔积液
【Key words】 pleural effusionCEA
  • 【分类号】R817.4
  • 【被引频次】1
  • 【下载频次】7
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