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脑脊液HCG对恶性滋养细胞肿瘤脑转移的诊断价值
引用本文:刘惠喜,张思真,高积勇.脑脊液HCG对恶性滋养细胞肿瘤脑转移的诊断价值[J].西安交通大学学报(医学版),1994(1).
作者姓名:刘惠喜  张思真  高积勇
作者单位:Dept. of Obstetrics and Gynecology,First affiliated Hospital
摘    要:对28例恶性滋养细胞肿瘤肺转移患者血和脑脊液HCG值进行了测定。7例发生中枢神经系统转移(脑转移5例,脊髓转移2例)。转移组与无转移组之脑脊液HCG值、血和脑脊液hcG比值,均有显著差异(P<0.001,P<0.05)。脑转移病例血和脑脊液比值最高为38:1。证明血和脑脊液HCG比值可作为判断有无中枢神经系统转移的敏感指标,对高危患者筛选的依据。

关 键 词:滋养细胞肿瘤,脑转移,脑脊液

A RESEARCH OF DIAGNOSTIC VALUE OF HUMAN CHORIONIC GONADOTROPHIC HORMONE IN THE CEREBROSPINAL FLUID TO BRAIN MATASTASES OF MALIGNANT TROPHOBLASTIC TUMOR
Liu Huixi, Zhang Sizhen, Gao Jiyong.A RESEARCH OF DIAGNOSTIC VALUE OF HUMAN CHORIONIC GONADOTROPHIC HORMONE IN THE CEREBROSPINAL FLUID TO BRAIN MATASTASES OF MALIGNANT TROPHOBLASTIC TUMOR[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1994(1).
Authors:Liu Huixi  Zhang Sizhen  Gao Jiyong
Abstract:in this study the human chorionic gonadotrophin (HCG) concentration in plasma and cerebrospinal fluid (CSF) were measured in 28 patients with malignant trophoblastic tumor associated with lung metastases. 7 cases out of them developed metastases to the central nervous system (5 brain metastases, 2 spinal cord metastases). The HCG value and ratios in plasma and CSF showed markedly difference between metastatic group and nonmetastatic group (P< 0.001, P < 0.05 respectively). In the patients of brain metastases the maximum ratio of HCG in plasma and CSF was 38:1. It is proved that the plasma/CSF ratio of HCG may become a sensitive index-in detecting the presence of metastases of central nervous system and asa screening evidence (accordance)for the high risk patients.
Keywords:trophoblastic tumor  cerebrospinal fluid  brain metastasis
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