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胸腹水脂质检测鉴别良恶性病变的实用价值 被引量:2

Role of Lipid Content in Effusions in the Differentiation of Benign from Malignant
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摘要 本文对35例肝硬化腹水、16例感染性胸腹水和34例恶性胸腹水进行了脂质测定,并和铁蛋白、总蛋白、LDH作对照。结果表明,恶性胸腹水胆固醇含量111.94±24.8mg/dl,明显高于感染组及肝硬化组(P<0.01)。其鉴别良恶性胸腹水的敏感性85.29%、特异性96.08%、有效性91.79%,与铁蛋白具有同等价值,且检测方法简便易行,可作为鉴别良恶性胸腹水有效而优良的方法。 The lipids concentrations in ascitic and pleural effusion were determined in 35 patients with cirrhosis, 16 inflammatory diseases and 34 various neoplasms. The cholesterol level was significantly higher in cancer cases (111.94±24.80 mg/dl) than in cirrhotic and inflammatory (P<0.01). The optimal values for discrimination were 103.28 mg/dl for cholesterol, 33.95 mg/dl for phospholipids, and 23.01 mg/dl for triglyceride. In this study the appropriate value of sensitivity, specificity and effectiveness of lipids in effusions obtained were 85.29%, 96.08% and 91.79% respectively. The results showed that determination of lipids in ascitic and pleural effusions is an excellent and useful means for differentiating benign from malignant effusion.
出处 《中国肿瘤临床》 CAS CSCD 北大核心 1990年第4期237-239,共3页 Chinese Journal of Clinical Oncology
关键词 脂质含量 腹水 胸水 诊断 鉴别诊断 Lipid content Ascites Pleural effusion Diagnosis
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  • 1李影林.-[J].中华医学检验全书,1996,:518-518.
  • 2胡宏.-[J].诊断与治疗,1984,72(4):107-107.
  • 3玉丛隆 王淑娟.-[J].今日临床检验,1997,:307-307.
  • 4何浩明 李满球 等.-[J].临床检验杂志,1994,12(1):17-17.
  • 5江福民,李素芳.腹水/血清胆红素比值区别漏出液和渗出液[J]临床检验杂志,1993(01).
  • 6张继翔,曾宪续,王棠海.胸水实验诊断及其临床意义的评价[J].上海医学检验杂志,1991,6(3):171-173. 被引量:15

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