【摘要】 目的:探讨经皮胸膜活检、胸水腺苷脱氨酶(ADA)、癌胚抗原(CEA)在胸腔积液中的诊断价值。方法:回顾性分析83例诊断明确的胸腔积液患者临床检查资料。结果:83例患者中,结核性胸膜炎59例,胸膜活检阳性34例,胸水ADA阳性54例,ADA均值(48.2±12.9)U/L,CEA阳性4例,CEA均值(6.7±5.5)μg/L。恶性胸腔积液24例,胸膜活检阳性11例,胸水CEA阳性15例,CEA均值(61.3±30.5)μg/L,ADA阳性4例,ADA均值(11.7±4.8)U/L。结论:经皮胸膜活检、胸水ADA、CEA检测对胸腔积液诊断有重要价值。更多还原

【Abstract】 Objective:To discuss the diagnostic value of percutaneous pleural biopsy and adenosine deaminase(ADA) and carci-noembryonic antigen(CEA) in pleural effusion.Methods:Retrospective analysis of the data of 83 pleural effusion patients with evident di-agnosis undergoing the percutaneous pleural biopsy,ADA and CEA examination was performed.Results:In 83 cases,there were 59 pa-tients with tuberculosis pleurisy and 24 patients with malignant pleural effusion.In tuberculosis pleurisy,34 cases were positive result in pleural biopsy,54 in ADA(48.2±12.9) and 4 in CEA(6.7±5.5).In malignant pleural effusion,11 cases were positive result in pleural biop-sy,15 in CEA(11.7±4.8) and 4 in ADA(6.7±5.5).Conclusion:Percutaneous pleural biopsy,ADA and CEA play a significant role in the di-agnosis of pleural effusion.更多还原