心钠素、癌胚抗原在良恶性胸腔积液鉴别中的价值  

The value of ANP and CEA in the differential diagnosis of benign and malignant pleural effusion

作　　者：谭玉萍[1] 黄美杏[1] 陈斯宁[1] 陈学远[1] 潘玲[1] 

机构地区：[1]南宁市广西中医学院附属瑞康医院呼吸内科,530011

出　　处：《临床肺科杂志》2008年第9期1167-1168,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的比较心钠素、癌胚抗原在良恶性胸腔积液鉴别诊断中的价值。方法检测36例结核性胸腔积液、40例恶性胸腔积液患者的血清和胸水中的心钠素(ANP)及癌胚抗原(CEA)水平。结果恶性组胸水ANP水平明显高于结核组(P<0.01);恶性组血清、胸水CEA水平也明显高于结核组(P<0.01),但恶性组血清ANP水平与结核组比较,差异无显著性意义(P>0.05)。结论测定胸腔积液ANP水平是良恶性胸腔积液鉴别的重要方法之一,与CEA测定具有同样重要的临床价值。Objective To compare the value of ANP and CEA in the differential diagnosis of benign and malignant pleural effusion.Methods The level of ANP and CEA were examined in human serum and pleural effusion of 36 cases with tuberculous pleural effusion and 40 cases with malignant pleural effusion.ResultsThe level of ANP in the cases of malignant pleural effusion was higher than in the cases of tuberculous pleural effusion（P〈0.01）;The CEA level of serum and pleural effusion in the cases of malignant pleural effusion was higher than the the cases in tuberculous pleural effusion too（P〈0.01）,but the serum ANP had no statistically significant difference between the two groups（P〉0.05）.ConclusionIt is one of important methods to identify benign or malignant pleural effusion by detecting the level of ANP in pleural effusion,which is equavlent to the level of CEA.

关 键 词：心钠素 癌胚抗原 胸腔积液 诊断 鉴别 

分 类 号：R561[医药卫生—呼吸系统] R730.4[医药卫生—内科学]