血浆D-二聚体检测在肺癌合并血栓性疾病中的诊断价值研究  

Diagnostic Value Study of Plasma D-dimer Detection for Lung Cancer Complicated with Thrombotic Disease

作　　者：胡小军[1] 李薇[1] 康岩 房娟 Hu Xiao-jun;Li Wei;Kang Yan;Fang Juan(Department of Oncology,Liangxiang Hospital in Fangshan District,Beijing 102401,China)

机构地区：[1]北京市房山区良乡医院肿瘤科,北京102401

出　　处：《中国社区医师》2022年第27期105-107,共3页Chinese Community Doctors

摘　　要：目的:探讨在肺癌患者中血浆D-二聚体检测是否对于静脉血栓栓塞症(VTE)有预测及诊断价值。方法:选取2016年6月-2017年6月在北京市房山区良乡医院肿瘤科住院的58例肺癌患者作为研究对象,按照有无VTE分为有VTE组与无VTE组,比较其D-二聚体水平。结果:有VTE组患者的D-二聚体水平较无VTE组高,差异有统计学意义(P<0.05)。肺癌患者诊断VTE的血浆D-二聚体水平最佳诊断界值为2.955 mg/L。结论:血浆D-二聚体检测在肺癌合并血栓性疾病中具有诊断作用。Objective:To investigate whether plasma D-dimer detection still has predictive and diagnostic value for venous thromboembolism(VTE)in lung cancer patients.Methods:From June 2016 to June 2017,58 patients with lung cancer who were hospitalized in the Oncology Department of Liangxiang Hospital in Fangshan District of Beijing were selected as the study subjects,and they were divided into a group with VTE and a group without VTE according to the presence or absence of VTE.The D-dimer level in two groups was compared.Results:The D-dimer level of patients in the group with VTE was higher than that in the group without VTE,and the difference was statistically significant(P<0.05).The optimal diagnostic threshold for plasma D dimer levels for the diagnosis of VTE in lung cancer patients was 2.955 mg/L.Conclusion:Plasma D-dimer detection has a diagnostic role in lung cancer complicated with thrombotic diseases.

关 键 词：静脉血栓栓塞症 D-二聚体检测 肺癌 血管超声检查 

分 类 号：R734.2[医药卫生—肿瘤]