摘要
目的:探讨C-反应蛋白、腺苷脱氨酶、CA125糖类抗原在胸腔积液良恶性鉴别中的意义。方法:选择本院胸腔积液患者90例,其中结核性胸腔积液30例,为A组;癌性胸腔积液患者30例,为B组;化脓性胸腔积液患者30例,为C组。检测3组患者胸腔积液中C-反应蛋白、腺苷脱氨酶、CA125糖类抗原水平。结果:①A、B组和C组中C-反应蛋白、腺苷脱氨酶、CA125糖类抗原均高于正常范围;②C-反应蛋白水平,C组高于A组和B组,A组高于B组,差异有统计学意义(P<0.05);③腺苷脱氨酶,A组和C组均高于B组(P<0.05),A组和C组差异无统计学意义(P>0.05);④CA125糖类抗原,A组和B组均高于C组(P<0.05),B组高于A组(P<0.05)。结论:C-反应蛋白、腺苷脱氨酶、CA125糖类抗原联合检测有助于鉴别胸腔积液的良恶性。
Objective： To explore the identification of C reaction protein, adenosine deaminase and cancer antigen 125 in benign and malignant pleural effussion. Methods： 90 cases with pleural effussion were selected, and 30 cases were tuberculous pleural effussion, as group A; 30 cases were careinomaous pleural effussion, as group B; 30 were purulence pleural effussion, as group C. The level of C reaction protein, adenosine deaminase and cancer antigen 125 was detected in three groups. Results： （1）The level of C reaction protein, adenosine deaminase and cancer antigen 125 were higher than the normal level in three groups; （2）The level of C reaction protein in group C was higer than that in group A and group B, and that in group A was higher than that in group B （P〈0.05）; （3）Adenosine in group A and group C than that in group B （P〈 0.05）; adenosine in group A was simila with that in group C （P〉0.05）; （4）Cancer antigen 125 in group A and group B was higher than that in group C （P〈0.05）; cancer antigen 125 in group B was higher than that in group A （P〈0.05）. Conclusion： Joint detection of C reaction protein, adenosine deaminase and cancer antigen 125 is helpful to identify the benign and malignant pleural effussion.
出处
《中国当代医药》
2011年第16期92-93,共2页
China Modern Medicine
