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目的 探讨糖抗原1 2 5(CA1 2 5)对结核性腹膜炎诊断价值。方法 应用酶微粒子法测定结核性腹膜炎和肝硬化患者的血清、腹水CA1 2 5水平及正常人血清CA1 2 5水平。应用腹膜多功能检查针取腹膜活检。结果 CA1 2 5>60 0kU/L中 ,结核性腹膜炎血清、腹水阳性例数分别为 2 / 2 0、5 / 2 0 ;肝硬化血清、腹水阳性例数分别为 2 /2 0、3 / 2 0。CA1 2 5<60 0kU/L中 ,结核性腹膜炎血清、腹水分别为 (10 3 42± 68 2 8)kU/L、(4 4 4 82± 68 95 )kU/L ;肝硬化血清、腹水分别为 (63 3 8± 3 7 0 0 )kU/L、(2 2 4 60± 79 3 9)kU/L ;正常对照血清为 (2 4 5 1± 8 5 1)kU/L。结论 CA1 2 5可作为结核性腹膜炎诊断参考指标
Objective To investigate the diagnostic value of carbohydrate antigen 125 (CA1 2 5) in tuberculous peritonitis. Methods Serum and ascites CA1 25 levels in patients with tuberculous peritonitis and cirrhosis and CA1 25 serum levels in normal subjects were determined by enzyme particle method. Peritoneal multi-function examination needle peritoneal biopsy. Results In CA1 2 5> 60 0 kU / L, the positive cases of tuberculous peritonitis serum and ascites were 2 / 20,5 / 20 respectively; the positive cases of cirrhosis and ascites were 2 / 20,3 / 2 0. The serum and ascites of tuberculous peritonitis were (10 42 ± 68 28) kU / L and (44 442 ± 68 95) kU / L respectively in CA1 2 5 <60 0 kU / L; (63 3 8 ± 3 7 0 0) kU / L, (2 2 4 60 ± 79 3 9) kU / L, and normal control serum was (2 451 ± 8 5 1) kU / L. Conclusion CA1 2 5 can be used as a reference for the diagnosis of tuberculous peritonitis