摘要
目的 :探讨腺苷脱氨酶 (ADA)、癌胚抗原 (CEA)和铁蛋白 (Ft)对结核性和癌性胸水的诊断价值。方法 :检测 30例结核性胸膜炎和 2 1例癌性患者胸水中的 ADA、CEA和 Ft含量。结果 :单项检测 :ADA诊断结核性胸膜炎的敏感性为 86 .7% ,特异性为 80 .1% ,准确度为 86 .7% ;CEA和 Ft诊断癌性胸水的敏感性分别为 76 .2 %和 6 6 .7% ,特异性为93.3%和 86 .7% ,准确度为 88.9%和 77.8%。联合检测 :以三项同时符合结核或癌性胸水为诊断依据时 ,结核性和癌性胸水的敏感性分别为 70 %和 5 2 .4 % ,特异性和准确度均为 10 0 %。结论 :ADA、CEA和 Ft联合检测对结核性和癌性胸水有较高的鉴别诊断价值。
Objective:To investigate the value of ADA,CEA and Ft in the differential diagnosis of malignant and tuberculous pleural effusion Method:The activity of ADA,CEA and Ft was tested in 32 patients with tuberculous pleural effusion and in 21 patients with malignant pleural effusion Result:The sensitivity,specificity and diagnostic accuracy rate of ADA for the tuberculous pleural effusion were 86 7%,80 1% and 86 7% respectively The CEA rates for malignant pleural effusion were 76 2%,93 3%and 88 9% respectively,while the Ft rates were 66 7%,86 7% and 77 8% respectively When the three tests were used in combination,sensitivity rate was 70% for TB and 52.4% for malignant pleural effusion;the specificity and diagnostic accuracy rates of the tow groups were 100% Conclusion:ADA,CEA and Ft are valuable in differentiating between mailgnant and tuberculous pleural effusion
出处
《广西医学》
CAS
2002年第4期463-465,共3页
Guangxi Medical Journal
