Diagnosis Value of CEA,FDP and DD in the Pleural Effusion Specimens for Benign and Malignant Pleural Effusion
10.3969/j.issn.1671-7414.2017.06.035
- VernacularTitle:胸腔积液中CEA,FDP和DD检测对良恶性胸腔积液鉴别的意义
- Author:
Hua ZHANG
1
;
xia Xiao LI
;
Jing LIU
;
ling Shu HU
;
Yang SUN
;
Cui WANG
;
xia Li ZHANG
Author Information
1. 陕西省人民医院
- Keywords:
CEA;
FDP;
DD;
pleural effusion;
differential diagnosis
- From:
Journal of Modern Laboratory Medicine
2017;32(6):122-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the significance of expressions of carcinoembryonic antigen(CEA),fibrinogen degrada-tion products(FDP)and D-dimer(DD)in the pleural effusion specimens for differential diagnosis between the benign and malignant pleural effusion.Methods 40 patients with benign pleural effusion patients and 30 patients with malignant pleural effusion were divided into benign or malignant group.The levels of CEA in pleural effusion was detected by electrochemilu-minescence,and FDP and DD were measured by turbidimetry.The value of diagnosis of three separate indicators and combine detection was compared by ROC analysis.Results The levels of CEA,FDP and DD in the pleural effusion specimens of ma-lignanat group were significantly higher than the benign group(t=2.523~3.889,all P<0.01).The sensitivity of combined detection of CEA,FDP and DD was 76.7%,and the rate of correct diagnosis was 82.9%.The sensitivity and diagnostic dffeiciency of combined detection were higher than separate indicators(χ2=1.036~3.324,all P<0.05).Conclusion Com-bined detection of CEA,FDP and DD is helpful to differential diagnosis of benign and malignant pleural effusion.
