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测定46例胆系病人的血清及胆汁癌胚抗原(CEA),发现胆石症与胆囊良性息肉胆汁及血清CEA水平均在15μg/L以下,统计学处理无意义。胆囊癌及胆管癌胆汁CEA水平均在20μg/L以上,明显高于血清CEA(P<0.01),且与胆石症及胆囊良性息肉胆汁CEA也存在非常显著差异(P<0.01),作者认为胆汁CEA测定可为临床鉴别胆系良恶性病变癌胚抗原提供一个较好的辅助诊断指标。
The serum and bile carcinoembryonic antigen (CEA) were determined in 46 cases of gallbladder patients. The gallstone and gallbladder benign polyps bile and serum CEA levels were below 15μg / L, statistical significance. The levels of CEA in gallbladder carcinoma and cholangiocarcinoma were all above 20μg / L, significantly higher than those in serum CEA (P <0.01), and there was also a significant difference (P <0.01) with gallstone and gallbladder CEA in gallbladder carcinoma , The authors believe that the determination of bile CEA for the clinical differential diagnosis of benign and malignant gallbladder carcinoembryonic antigen provides a better diagnostic index.