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目的探讨结核性与恶性胸腔积液的临床特点,为其诊断提供依据。方法回顾性分析我院接收的80例结核性(A组)和39例恶性胸腔积液(B组)患者的临床资料,对比两组患者的CEA、LDH、ADA测定结果。结果两组患者的PLDH与PLDH/SLDH比值比较无显著差异(P>0.05);两组PADA、SADA以及PADA/SADA比值比较差异显著(P<0.05);经logistic回归分析后显示,发病年龄、积液颜色、发热以及PADA/SADA比值为入选因素。结论结核性与恶性胸腔积液的鉴别诊断可参照SADA、PADA含量,且PADA/SADA比值越大结核性胸腔积液诊断准确率越高;发病年龄、积液颜色、发热以及PADA/SADA比值可联合用于二者的判别。
Objective To investigate the clinical features of tuberculous and malignant pleural effusion and provide the basis for its diagnosis. Methods The clinical data of 80 tuberculosis patients (group A) and 39 patients with malignant pleural effusion (group B) received in our hospital were retrospectively analyzed. The results of CEA, LDH and ADA were compared between the two groups. Results There was no significant difference in PLDH and PLDH / SLDH between the two groups (P> 0.05). There was significant difference in PADA, SADA and PADA / SADA between the two groups (P <0.05). Logistic regression analysis showed that age, Fluid color, fever and PADA / SADA ratio for the selected factor. Conclusions The differential diagnosis of tuberculous and malignant pleural effusion can refer to SADA and PADA content, and the higher the PADA / SADA ratio, the higher the diagnostic accuracy of tuberculous pleural effusion; the age of onset, effusion color, fever and PADA / SADA ratio Joint for the two judgments.