血清和胸水中肿瘤标志物对肺癌恶性胸水诊断意义的比较
程蒿;高巍;雷光焰
【期刊名称】《现代肿瘤医学》 【年(卷),期】2014(000)010
【摘要】目的:探讨恶性胸腔积液患者血清和胸水中癌胚抗原(CEA)、癌抗原-125(CA-125)、铁蛋白(Fer-ritin)及神经元特异性烯醇化酶( NSE)对恶性胸腔积液诊断的临床意义。方法:恶性胸水的肺癌患者共37例,测量其血清和胸水中的CEA、CA-125、铁蛋白、NSE含量,并进行比较。结果:肺癌患者胸水中CEA、CA-125、铁蛋白含量均明显高于血清组(均P<0.05),而胸水和血清中 NSE 比较差异无统计学意义( P>0.05)。结论:肺癌患者胸水中肿瘤标志物的阳性率要高于血清中。联合检测胸水中肿瘤标志物对于肺癌的诊断意义更大。%Objective:To explore the significance of CEA,CA-125,Ferritin,NSE in serum and hydrothorax of patients with malignant hydrothorax caused by lung cancer. Methods:Measured and compared CEA,CA-125,Fer-ritin,NSE in serum and hydrothorax in 37 patients with malignant hydrothorax caused by lung cancer. Results:In lung cancer group tumor markers in hydrothorax were obviously higher than those in serum. The quantities of CEA,CA-125,Ferritin in hydrothorax were obviously higher than those in serum(P<0. 005),it was no significance for quanti-ties of NSE in hydrothorax and serum(P>0. 05). Conclusion:In malignant hydrothorax caused by lung cancer,the positive rate of tumor markers in hydrothorax was higher than those in serum. There was great