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血清肝纤维化指标在慢性肝病中的临床分析
引用本文:李文全,曹春晓,杨琦,姚玲.血清肝纤维化指标在慢性肝病中的临床分析[J].中国当代医药,2009,16(14):50-51.
作者姓名:李文全  曹春晓  杨琦  姚玲
作者单位:宜宾市第二人民医院,四川宜宾,644000
摘    要:目的:探讨联合测定血清透明质酸(HA)、层黏蛋白(LN)、Ⅲ型前胶原(PCⅢ)及Ⅳ型胶原(Ⅳ-C)对慢性肝炎肝纤维化的诊断意义。方法:采用放射免疫分析法检测143例肝病患者的HA、LN、PCⅢ、Ⅳ-C,并与30例健康体检者对比。结果:各组肝病四项纤维化指标较对照组有明显升高。结论:联合测定HA、LN、PCⅢ及Ⅳ-C对肝纤维化的诊断有较高的临床价值,并适合于动态观察肝病的进展,对肝病的预后有一定的指导意义。

关 键 词:肝纤维化  透明质酸  层黏蛋白  Ⅲ型前胶原  Ⅳ型胶原

Clinical analysis of serum hepatofibrosis indices in the patients with choronic hepatic disease
Authors:LI Wenquan  CAO Chunxiao  YANG Qi  YAO Ling
Affiliation:(The Second People's Hospital of Yibin City,Yibin 644000,China)
Abstract:Objective:To investigate the significance of combined testing aminoterminal propeptide of hyalumoic acid (HA),laminin (LN),precollagen type Ⅲ (PC Ⅲ) and collagen type Ⅳ (Ⅳ-C)in the chronic hepatitis with hepatic fibrosis. Methods:Serum HA,LN,PC Ⅲ,Ⅳ-C of 143 patients with hepatic disease were examined by radioimmunoassay and the re-sults were compared with those of 30 healthy people. Results: Four fibrosis indices of liver disease in each group had sig-nificantly increased than the control group. Conclusion: Combined testing HA,LN,PC Ⅲ and Ⅳ-C is helpful for clinical diagnosis of hepatic fibrosis, and suitable for dynamic observation of the progress of hepatic disease. It is guide significance for prognosis of hepatic disease.
Keywords:Hepatic fibrosis  HA  LN  PC Ⅲ  Ⅳ-C
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