纤维支气管镜检查和胸水腺苷脱氨酶、癌胚抗原测定对不明原因胸腔积液的诊断价值  

CLINICAL SIGNIFICANCE OF FIBEROPTIC BRONCHOSCOPY DETECTION OF ADENOSIN DEAMINASE AND CARCIEMBRYONIC ANTIGEN IN PLEURAL EFFUSION

作　　者：田利奇[1] 周太原[1] 潘巧红[1] 

机构地区：[1]广州医学院附二院内科,广州510260

出　　处：《中国内镜杂志》2000年第3期19-20,共2页China Journal of Endoscopy

摘　　要：对 6 2例不明原因胸腔积液患者进行纤维支气管镜检查 ,并检测胸水腺苷脱氨酶、癌胚抗原及血清癌胚抗原。结果显示 6 2例不明原因胸腔积液患者中 ,经纤维支气管镜检查及活检病理诊断肺部肿瘤 2 9例 ;结核性胸膜炎及活检病理诊断肺部肿瘤 2 9例 ;结核性胸膜炎患者胸水腺苷脱氨酶明显高于肺癌患者和其他组患者(P <0 .0 1) ;肺癌患者胸水、血清癌胚抗原显著高于良性肺病患者 (P <0 .0 1)。纤维支气管镜检查并胸水腺苷脱氨酶。patients with idiopathic pleural effusion were observed under fiberoptic bronchoscopy and the levels of adenosine deaminase, carciembryonic antigen were measured in pleural effusion. 29 out of 62 patients with idiopathic pleural effusion observed under fiberoptic bronchoscopy were identified to be ling cancer. The level of adenosine deaminase in pleural fluid were higher in the group of patients with tuberculous pleuritis than that with lung cancer (p<0.01). The level of carciembryonic antigen in pleural fluid and serum were higher in the group of patients with lung cancer than that with benign pulmonary diseases (p<0.01). These results suggest that examination of fiberopic bronchoscopy and detection of adenosine deaminase in pleural fluid and carciembryonic antigen in pleural fluid and serum were valuable adjunctive method in the diagnosis of idiopathic pleural effusion.

关 键 词：胸膜积液 支气管镜术 腺苷脱氨酶 癌胚抗原 

分 类 号：R561.304[医药卫生—呼吸系统]