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目的分析临床腹腔积液生化检验的方法与效果。方法选取医院住院的有腹腔积液症状患者41例作为研究对象,根据患者腹腔积液影像学检查结果及病理诊断结果分为观察组(恶性病变,18例)和对照组(良性病变,23例)。于患者接受治疗前进行腹腔穿刺,采集腹腔积液样本进行生化检验。对2组患者腹腔积液相关生化指标进行检验分析并比较。结果观察组腺苷脱氨酶检出值显著低于对照组(P<0.01),糖基抗原CA125、乳酸脱氢酶、总蛋白均显著高于对照组(P<0.01)。结论对腹腔积液患者相关生化指标进行检验,有助于鉴别诊断疾病良性、恶性程度,具有成本低、敏感度高的优势,值得临床推广应用。
Objective To analyze the method and effect of clinical ascitic fluid biochemical test. Methods Forty-one patients with ascitic fluid in hospital were enrolled. According to the results of the ascitic fluid imaging and pathological diagnosis, the patients were divided into observation group (malignant lesions, 18 cases) and control group (benign lesions, 23 cases ). Peritoneal puncture was performed before the patient was treated, and samples of ascites were collected for biochemical tests. The biochemical indexes related to ascites in the two groups were tested and compared. Results The detection value of adenosine deaminase in the observation group was significantly lower than that in the control group (P <0.01). The levels of CA125, LDH and total protein in the observation group were significantly higher than those in the control group (P <0.01). Conclusions The test of biochemical indexes in patients with ascites is helpful to differentiate the benign and malignant diseases. It has the advantages of low cost and high sensitivity, which is worthy of clinical application.