CRP、ADA及CEA联合检测对胸腔积液的诊断和鉴别诊断价值

CRP、ADA及CEA联合检测对胸腔积液的诊断和鉴别诊

断价值

杨苹苹

【期刊名称】《中国社区医师》 【年(卷),期】2015(000)026

【摘要】目的：探讨腺苷脱氨酶(ADA)、C反应蛋白(CRP)及癌胚抗原(CEA)联合检测对胸腔积液的诊断和鉴别诊断价值。方法：收治结核性胸腔积液患者40例(结核组)和恶性胸腔积液患者30例(恶性组)，抽取胸腔积液，采用酶联免疫吸附试验检测ADA和免疫投射比浊法检测CRP，电化学发光法检测CEA。结果：结核组胸腔积液ADA和CRP水平和阳性率均显著高于恶性组(P＜0.05)，CEA水平显著低于恶性组(P＜0.05)。结论：ADA、CRP和CEA联合检测对胸腔积液的鉴别诊断具有一定的价值。%Objective:To explore the adenosine deaminase(ADA),C-reactive

protein(CRP)

and

carcinoembryonic

antigen(CEA) combined detection in the diagnosis and differential diagnosis of pleural effusion.Methods:40 patients with tuberculous pleural effusion(tuberculosis group) and 30 cases of malignant pleural effusion(malignant group) were selected,then we extracted their pleural effusion,then detected ADA by enzyme linked immunosorbent test,and detection of CRP using immune projection turbidity method,and using electrochemiluminescence assay to detecte CEA.Results:The levels and the positive rates of CRP and ADA in pleural effusion of the tuberculosis group were significantly higher than those of the malignant