胸腔积液诊疗研究进展与生物标志物应用
摘要
液体的产生与吸收平衡被打破,导致液体异常潴留的病理状态。作为多种疾病的重要临床表现,胸腔积液的病因复
杂多样,临床诊疗难度较大。随着医学技术的不断发展,尤其是生物标志物的逐步发现,胸腔积液的病因鉴别取得
了显著突破,但临床中漏诊、误诊及治疗效果不佳的问题仍时有发生。本文结合近年来国内外相关研究进展,对胸
腔积液进行系统综述,重点探讨生物标志物与结构性胸腔积液的关联,为临床诊疗提供参考依据,同时为后续相关
研究指明方向。
关键词
全文:
PDF参考
[1]张晓宏,任寿安.胸腔积液及其引流引发的病理
生理学效应[J].国际呼吸杂志,2021,41(12):956-960
[2]中华医学会呼吸病学分会胸膜与纵隔疾病学组
(筹).胸腔积液诊断的中国专家共识[J].中华结核和呼吸
杂志,2022,45(11):1080-1096
[3]LIGHT R W, MACGREGOR M I, LUCHSINGER
P C, et al. Pleural effusions: the diagnostic separation of
transudates and exudates[J]. Annals of Internal Medicine,
1972, 77(4): 507-513
[4]PIRAS M A, GAKIS C, BUDRONI M, et al.
Adenosine deaminase activity in pleural effusions: an aid
to differential diagnosis[J]. British Medical Journal, 1978,
2(6154): 1751-1752
[5]MARTÍNEZ-ESPINOSA I, SERRATO J A,
CABELLO-GUTIÉRREZ C, et al. Exosome-Derived
miRNAs in Liquid Biopsy for Lung Cancer[J]. Life (Basel),
2024, 14(12): 1608
[6]魏黛珏,同重湘.胸腔积液腺苷脱氨酶、全血γ-
干扰素和白细胞介素2检测对结核性胸膜炎的诊断价值
[J].结核与肺部疾病杂志,2025,6(5):525-531
[7]李 威, 陈 燕 明, 陈 晓 军, 等.胸 腔 积 液 中
miRNA-21和miRNA-155表 达 的 诊 断 价 值[J].江 苏 医
药,2012
[8]陈小蓉,曾惠清,王洺辉,等.生物学标志物在
渗出性胸腔积液诊断的研究进展[J].中国呼吸与危重监护
杂志,2021,20(2):148-152
[9]JANKOVIC J, ILIC B, DURDEVIC N, et al. ADA
as main biochemical marker in patients with tuberculous
effusion[J]. Journal of Medical Biochemistry, 2023, 42(4):
722-726
[10]ZENG T, LING B, HU X, et al. The Value of
Adenosine Deaminase 2 in the Detection of Tuberculous
Pleural Effusion: A Meta-Analysis and Systematic Review[J].
Canadian Respiratory Journal, 2022, 2022: 7078652
[11]谭慧,王璞.免疫指标在结核性胸腔积液诊断中
的研究进展[J].西部医学,2024,36(01):152-156
[12]HUANG H, LI Y, CAO X, et al. Diagnostic value
of IFN-gamma in tuberculous pleural effusion[J]. Cytokine,
2024, 184: 156773
[13]CHAN F K, MORIWAKI K, DE ROSA M J.
Detection of necrosis by release of lactate dehydrogenase
(LDH) activity[J]. Methods Mol Biol, 2013, 979: 65-70
[14]彭赛亮,何方方,赵年贵.多指标联合检测诊断
结核性胸膜炎的临床价值[J].江西医药,2019,54(12):
1555-1558
[15]GAO L, WANG W, ZHANG Y, et al. Adenosine
deaminase-based measurement in the differential diagnosis
of pleural effusion: a multicenter retrospective study[J]. Ther
Adv Respir Dis, 2023, 17: 17534666231155747
[16]HUANG H, LI Y, ZHANG L, et al. A new strategy
for the diagnosis of tuberculosis based on secreted antigens:
evaluation of the efficacy of alveolar lavage ESAT-6 and
CFP-10 tests[J]. European Journal of Medical Research,
2025, 30: 1171
[17]KOTRULEV M, GOMEZ-TOURIÑO I,
CORDERO O J. Soluble CD26: from suggested biomarker
for cancer diagnosis to plausible marker for dynamic
monitoring of immunotherapy[J]. Cancers (Basel), 2024,
16(13): 2427
[18]OSHIKAWA K, SUGIYAMA Y. Elevated soluble
CD26 levels in patients with tuberculous pleurisy[J]. Int J
Tuberc Lung Dis, 2001, 5(9): 868-872
[19]SÁNCHEZ-OTERO N, RODRÍGUEZBERROCAL F J, DE LA CADENA M P, et al. Evaluation
of pleural effusion sCD26 and DPP-IV as diagnostic
biomarkers in lung disease[J]. Sci Rep, 2014, 4: 3999
[20]KÜPELI E, KARNAK D, ELGÜN S, et al.
Concurrent measurement of adenosine deaminase anddipeptidyl peptidase IV activity in the diagnosis of tuberculous
pleural effusion[J]. Diagn Microbiol Infect Dis, 2009, 65(4):
365-371
[21]黄毓东,谢灿茂.肿瘤坏死因子、白细胞介素
8、可溶性细胞间粘附分子1和CD11b/CD18在良恶性胸
腔积液的价值[J].中华结核和呼吸杂志,2001,24(1):
15-18
[22]何菁,许文芳,陈能松,等.联合检测肿瘤坏死
因子α和白细胞介素6对结核性胸膜炎与恶性胸腔积液
的鉴别诊断价值[J].中国临床保健杂志,2023,26(5):
671-673
[23]张伟,李明,王芳,等.多项指标联合检测在结
核性胸膜炎诊断中的临床价值[J].实用医学杂志,2015,
31(3):407-409
[24]SANTOS A P, CORRÊA R D S, RIBEIROALVES M, et al. Application of Venn's diagram in the
diagnosis of pleural tuberculosis using IFN-γ, IP-10 and
adenosine deaminase[J]. PLoS ONE, 2018, 13(8): e0202481
[25]张建荣,师志云,席向红,等.CEA、CA125、
CA199检测在良恶性胸腔积液鉴别诊断中的应用[J].宁夏
医科大学学报,2010,32(3):418-420
[26]WANG Y, LI X, CHEN H, et al. Performance
evaluation of Eu3+-based CRP/SAA and PCT/IL-6 lateral
flow immunoassay kits and their diagnostic value in respiratory
tract infections[J]. Practical Laboratory Medicine, 2024, 42:
e00432
Refbacks
- 当前没有refback。
