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AgNOR检测对鉴别结核性与癌性胸腔积液的诊断价值

The diagnostic value of AgNOR in tuberculosis and malignant pleural effusion
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摘要 目的:研究核仁组成区嗜银蛋白(AgNOR)对结核性与癌性胸腔积液鉴别的诊断价值。方法:采用MPIAS-500多媒体病理图文分析系统定量测定80例胸腔积液(40例结核性积液和40例癌性积液)中脱落细胞的AgNOR颗粒10项参数,并对AgNOR形态进行观察分型。结果:癌性积液组AgNOR的10项参数测定指标均与良性组有显著性差异(P<0.01),并且癌性胸腔积液组癌细胞核内AgNOR颗粒以弥散型、聚集型和混合型为主,而结核性积液组细胞核内AgNOR颗粒以单一型为主。结论:胸腔积液AgNOR检测对结核性与癌性胸腔积液的鉴别诊断有重要价值。 Objective: To study the value of argyophilic nuclear organizer regions (AgNOR) in differentiating tuberculosis from malignant pleural effusion. Methods: Eighty specimens of pleural effusion (40 cases of tuberculosis pleural effusion and 40 cases of malignant pleural effusion) were analyzed by silver staining method. Results: The AgNOR results of malignant pleural effusion were obviously higher than those in tuberculosis pleural effusion (P ~ 0. 01). There were many dispersion, congregation and commix in the morphological study of AgNOR particles in malignant pleural effusion , but single form in tuberculosis pleural effusions, Conclusion: AgNOR technique, being a new effective method, has an important clinical value in diagnosis and differential diagnosis of tuberculosis and malignant pleural effusion .
出处 《陕西医学杂志》 CAS 北大核心 2008年第1期100-102,共3页 Shaanxi Medical Journal
关键词 鉴别诊断 核蛋白质类代谢 结核性胸腔积液 癌性胸腔积液 AGNOR检测 Pleural effusion/diagnosis Nuclear protein/metabolism
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