改良胸水常规检测在结核性和癌性胸水鉴别诊断中的价值

发布时间：2018-05-05 23:01

本文选题：结核性胸水 + 癌性胸水　；参考：《中国卫生检验杂志》2016年24期

【摘要】：目的探讨检测改良胸水常规检查中淋巴细胞/中性粒细胞(L/N)、淋巴细胞绝对值、蛋白定量鉴别结核性胸水和癌性胸水的临床意义。方法选取110例胸腔积液患者,其中结核性胸水65例、癌性胸水45例,胸水常规用迈瑞BC6900仪器体液模式和牛鲍池计数板进行有核细胞计数,分类采用瑞-姬染色后显微镜CX-21下计数100个细胞;ADA采用AU5400连续监测法检测;CEA采用电化学发光法检测;蛋白采用奥森多5600干化学法。结果 L/N、淋巴细胞绝对值、蛋白定量在结核性胸水中的含量高于癌性胸水,差异有统计学意义(P0.05)。L/N、淋巴细胞百分比、淋巴细胞绝对值、蛋白定量、胸水ADA的ROC曲线下面积分别为0.566、0.769、0.923、0.772、0.955。结论改良胸水常规检测对于结核性胸水和癌性胸水具有良好的鉴别价值。
[Abstract]:Objective to investigate the clinical significance of detecting lymphocyte / neutrophil neutrophil neutrophil neu@@ Methods Sixty-five patients with tuberculous pleural effusion and 45 patients with cancerous pleural effusion were selected. The nucleated cells in pleural effusion were counted by BC6900 instrument and Niubaochi counter. A total of 100 cells were counted under CX-21 under the microscope by Ruige staining and electrochemiluminescence (ECL) was used to detect AU5400, and the protein was determined by Orsendo 5600 dry chemical method. Results in tuberculous pleural effusion, the absolute value of lymphocyte and the quantity of protein were significantly higher in tuberculous pleural effusion than in carcinomatous pleural effusion. The difference was statistically significant (P < 0.05). The percentage of lymphocytes, the absolute value of lymphocyte, the quantity of protein and the area under ROC curve of ADA in pleural effusion were 0.5660.769U 0.9230.7720.95555, respectively. Conclusion the modified routine detection of pleural effusion has good value in differentiating tuberculous pleural effusion from cancerous pleural effusion.
【作者单位】：温州市中心医院检验科;
【分类号】：R521.7;R730.4

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