脑脊液纤维结合蛋白和铁蛋白在CNSL的临床意义

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本文观察了急性白血病患者CSF-FN和F含量,结果CNSL患者CSF-FN和F含量全部升高,与对照组及无CNSL组比较有极显著性差异(P<0.01)。10例CNSL患者治疗后8例缓解的CSF-FN和F明显下降;一例虽缓解但下降不明显,半月后复发。另一例病情恶化,CSF-FN和F反较治疗前升高。无CNSL组30例患者9例CSF-FN增高,8/23例CSF-F增高,其中二项同时增高的有7例,随访15—80天,有5例确诊为CNSL。本文提示CNSL确诊前CNS已受到白血病细胞的浸润;CSF-FN和F是诊断CNSL的敏感指标,有助于CNSL的早期诊断和疗效监测。 In this study, the CSF-FN and F levels in patients with acute leukemia were observed. As a result, CSF-FN and F levels in CNSL patients were all increased, and there was a significant difference between the control group and the non-CNSL group (P<0.01). The CSF-FN and F remission in 8 cases of CNSL patients after treatment were significantly decreased after treatment; in one case, the CSF-FN and F did not decrease significantly, but relapsed after half a month. In another condition, the CSF-FN and F were higher than before treatment. In the non-CNSL group, 9 cases of CSF-FN increased in 8 cases, and 8/23 cases of CSF-F increased. Among them, 7 cases of both cases increased at the same time. In the follow-up of 15-80 days, 5 cases were diagnosed as CNSL. This article suggests that CNS has been infiltrated by leukemia cells before diagnosis of CNSL; CSF-FN and F are sensitive indicators for the diagnosis of CNSL, which contributes to the early diagnosis and efficacy monitoring of CNSL.
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