脱落细胞学检查联合胸腹水乳酸脱氢酶在恶性胸腹水中的诊断价值
[摘要] 目的 探究脫落细胞学检查联合胸腹水乳酸脱氢酶(LDH)在恶性胸腹水中的诊断价值。 方法 方便选取2015年7月”2017年7月在该院接受治疗的85例胸腹水患者作为研究对象,根据良恶性不同,将患者分为良性组(n=36例)与恶性组(n=49例),均采取脱落细胞学+LDH检查,比较两组患者胸、腹水中LDH及其相对应血清LDH比值与敏感性、特异性。 结果 恶性胸腹水患者LDH水平及相对应血清中的LDH比值分别为(421.42±62.13)、(1.83±0.62),均显著高于良性胸腹水患者,两组比较差异有统计学意义(t=12.477、5.367,P<0.05)。恶性组患者断特异性(95.12%)、敏感性(91.84%)均高于良性组患者断特异性(77.78%)、敏感性(72.22%),差异有统计学意义(χ2=6.579、5.803,P<0.05)。结论 对恶性胸腹水患者给予脱落细胞学检查联合胸腹水乳酸脱氢酶诊断,能够有效鉴别良、恶性胸腹水,诊断特异性、敏感性高,能够提升诊断正确性,可广泛应用于临床,具有较高临床诊断价值。
[关键词] 脱落细胞学;胸腹水乳酸脱氢酶;恶性胸腹水;诊断价值
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2018)11(b)-0184-03
Value of Exfoliative Cytology Combined with Hydrothorax and Ascites Lactate Dehydrogenase in Diagnosis of Malignant Pleural Effusion and Ascites
SHEN Yu
Department of Clinical Laboratory, Suining Hospital of TCM, Xuzhou, Jiangsu Province, 221200 China
[Abstract] Objective To study the value of exfoliative cytology combined with hydrothorax and ascites lactate dehydrogenase in diagnosis of malignant pleural effusion and ascites. Methods 85 cases of patients with pleural effusion and ascites treated in our hospital from July 2015 to July 2017 were convenient selected and divided into two groups, including the benign group with 36 cases and the malignant group with 49 cases, and both groups used the exfoliative cytology and LDH examination, and the LDH in the thorax and ascites and corresponding serum LDH ratio and sensitivity and specificity were compared bet...
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