| 摘要: |
| ［摘要］ 目的 观察胸水糖类抗原125（CA125）水平对结核性胸腔积液的临床意义。方法 将2008-01～2014-01该院确诊为结核性胸膜炎并行胸水CA125测定的30例患者作为观察组，将确诊为肺炎旁胸腔积液或自身免疫性疾病合并胸腔积液的30例患者作为对照组，比较两组患者胸水CA125水平检测结果。结果 观察组胸水CA125<68.6 U/ml 3例，68.6 U/ml≤CA125≤600 U/ml 17例，>600 U/ml 10例；对照组胸水CA125<68.6 U/ml 1例，68.6 U/ml≤CA125≤600 U/ml 28例，>600 U/ml 1例。两组比较差异具有统计学意义（P<0.01）。结论 胸水CA125水平测定对结核性胸腔积液的诊断有一定的临床意义。 |
| 关键词: CA125 结核性胸腔积液 诊断 |
| DOI：10.3969/j.issn.1674-3806.2014.05.10 |
| 分类号:R 56 |
| 基金项目:广西壮族自治区人民医院青年基金课题（编号：QN2013-01） |
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| Clinical significance of the measurement of CA125 in pleural effusion for tuberculous pleural effusion |
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LUO Ling，QIN Xue-jun，LU Ai-ling，et al.
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Department of Respiratory Diseases, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To investigate the diagnostic value of the measurement of CA125 in pleural effusion for tuberculous pleural effusion.Methods Thirty confirmed tuberculous pleurisy patients who received the measurement CA125 of pleural effusion from January 2008 to January 2014 were pooled into observation group. The control group 30 patients were made up of patients with parapneumonic effusion or autoimmune disease patients with pleural effusion. Measurement of CA125 in all patients′ pleural effusion was performed by immunochemical fluorescent assay. Intergroup statistics analysis had been carried on.Results The observation group showed CA125<68.6 U/ml in 3 patients，68.6 U/ml≤CA125≤600 U/ml in 17，>600 U/ml in 10. The control group showed CA125<68.6 U/ml in one patient，68.6 U/ml≤CA125≤600 U/ml in 28，>600 U/ml in 1. There was statistically significance between two groups（P<0.05）.Conclusion Compared with parapneumonic effusion and autoimmune-associated pleural effusion, concentrations of CA125 in tuberculous pleural effusion have a tendency inclination of higher level. Furthermore, the measurement of CA125 in pleural effusion appears to be beneficial for diagnosing tuberculous pleural effusion in non-malignant pleural effusion patients. |
| Key words: CA125 Tuberculous pleural effusion Diagnosis |
