CEA和MGAgs联合检测对腹水鉴别诊断的价值  

The Value of CEA and MGAgs in the Differential Diagnosis of Ascitic Fluid

作　　者：罗晓勇[1] 于伟琦[1] 李亚莉 郭先科 张少华 张凤祥 

机构地区：[1]解放军150中心医院肿瘤中心,洛阳市471031

出　　处：《中国肿瘤临床与康复》1998年第4期29-30,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：为探讨 CEA和 MGAgs对良恶性腹水的鉴别诊断价值 ,同期检测 30例良性腹水和2 7例恶性腹水中 CEA和 MGAgs的含量。结果显示 ,CEA和 MGAgs诊断恶性腹水的敏感性分别为 5 5 .6 %和 5 9.7% ,特异性为 10 0 %和 96 .7% ,准确度为 78.9%和 78.9%。联合检测的敏感性、特异性和准确度分别为 77.8%、96 .7%和 87.7%。 CEA和 MGAgs联合检测对良恶性腹水有较高鉴别诊断价值。Objective: To study the value of CEA and MGAgs in the differential diagnosis of malignant and benign ascitic fluid. Methods: The levels of CEA and MGAgs in ascitic fluid were determined in 30 patients with benign ascitic fluid and 27 patients with malignant ascitic fluid.Results: The sensitivity,specificity and diagnostic accuracy of CEA for malignant ascitic fluid were 55.6%,100% and 78.9%,while those of the MGAgs were 59.7%,96.7% and 78.9% respectively.When the two tests were used in combination,the sensitivity,specificity and diagnosis accuracy were 77.8%,96.7% and 87.7%. Conclusion:It is showed that CEA and MGAgs tested in combination are more reliable in differentiating malignant and benign ascitic fluid.

关 键 词：癌胚抗原 MGAgs 腹腔积液 鉴别诊断 

分 类 号：R442.5[医药卫生—诊断学]