506例胸腔积液临床分析

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1、506例胸腔积液临床分析【摘要】目的探讨恶性胸腔积液细胞学结果与临床的联系及cea对恶性胸腔积液的诊断价值。方法对506例胸腔积液涂片细胞学、部分恶性胸腔积液cea检测结果进行回顾性分析。结果本组506例胸腔积液中，可见癌细胞42例，腺癌细胞41例，鳞癌1例；其中肺癌29例，胃癌4例，卵巢癌3例，结肠癌2例，乳腺癌2例，食道癌1例，肝癌1例。21例恶性胸腔积液cea检测结果19例异常升高。结论恶性胸腔积液多是肺癌所致，且多为肺腺癌；胸腔积液cea检测有助于恶性胸腔积液诊断。【关键词】胸腔积液细胞学肺腺癌中图

2、分类号：r561.3文献标识码：a文章编号：1005-0515（2012）1-004-02clinicalanalysisof506casesofpleuraleffusionhuxianchunzhaoyanpingzouxuesen（etal.departmentofjiujiangcancerhospital,jiujiang,332000）【abstract】objectivetoinvestigatetherelationshipbetweenfeatureofcancercellinpleura

3、leffusionandtheclinicalcharacterandthevalueofceaforthediagnosisofmalignantpleuraleffusion.methodsthecancercellsof506casesofpleuraleffusionandceainpartofthemalignantpleuraleffusionwereanalyzedretrospectively.resultsthe506例胸腔积液临床分析【摘要】目的探讨恶性胸腔积液细胞学结果与临床的联系及c

4、ea对恶性胸腔积液的诊断价值。方法对506例胸腔积液涂片细胞学、部分恶性胸腔积液cea检测结果进行回顾性分析。结果本组506例胸腔积液中，可见癌细胞42例，腺癌细胞41例，鳞癌1例；其中肺癌29例，胃癌4例，卵巢癌3例，结肠癌2例，乳腺癌2例，食道癌1例，肝癌1例。21例恶性胸腔积液cea检测结果19例异常升高。结论恶性胸腔积液多是肺癌所致，且多为肺腺癌；胸腔积液cea检测有助于恶性胸腔积液诊断。【关键词】胸腔积液细胞学肺腺癌中图分类号：r561.3文献标识码：a文章编号：1005-0515（2012）1-

5、004-02clinicalanalysisof506casesofpleuraleffusionhuxianchunzhaoyanpingzouxuesen（etal.departmentofjiujiangcancerhospital,jiujiang,332000）【abstract】objectivetoinvestigatetherelationshipbetweenfeatureofcancercellinpleuraleffusionandtheclinicalcharacterandthev

6、alueofceaforthediagnosisofmalignantpleuraleffusion.methodsthecancercellsof506casesofpleuraleffusionandceainpartofthemalignantpleuraleffusionwereanalyzedretrospectively.resultsthegroupof506casesofpleuraleffusion,cancercellscanbeseen42cases.andadenocarcinoma

7、in41cases,squamouscellcarcinomain1case;lungcancerin29cases,gastriccancerin4cases,ovariancancerin3cases,coloncancerin2cases,breastcancerin2cases,esophagealcancerin1case,livercancerin1case.thevalueofceain21casesofmalignantpleuraleffusionweredetected,19casesa

8、bnormalincreased.conclusionmalignantpleuraleffusioncausedmostlyduetolungcancer,andmoreforadenocarcinomalungcancer,theceatestinginpleuraleffusioncanhelpdiagnosemalignantpleuraleffusion.【keywords】pleuraleffusio