首页|血清Ⅳ型胶原和层粘连蛋白浓度测定在慢性肝病诊断中的临床价值

血清Ⅳ型胶原和层粘连蛋白浓度测定在慢性肝病诊断中的临床价值

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目的:评价血清Ⅳ型胶原(Ⅳ·C)和层粘连蛋白(LN)浓度测定对肝纤维化诊断的价值。方法:应用放射免疫分析法测定83例慢性肝炎患者和23例肝炎后肝硬化患者的血清LN、Ⅳ*C含量。结果:慢性肝炎患者血清LN含量为(145.1±37.9)μg/l,Ⅳ·C含量为(67.6±20)μg/l,显著高于正常人[LN(115.7±17.3)μg/l、Ⅳ·C(49.7±15)μg/l];肝硬化患者血清LN(207.0±63.3)μg/l、Ⅳ·C/l(92.9±28.8)μg/l,与慢性肝炎患者相比,有极显著性差异。LN和Ⅳ·C对肝硬化的敏感性分别为82.6%、86.9%。本文还分析了肝硬化患者LN、Ⅳ·C浓度与谷丙转氨酶(ALT)、A/G的相关系数分别为0.14、0.13、0.14、-0.17,均无显著意义。结论:LN和Ⅳ·C对慢性肝病纤维化的发生、发展有重要的临床价值。
Clinical value of type Ⅳ collagen and Laminin in diagnosis of chronic liver disease
Objective:To clarify the clinical significance of type Ⅳ collagen(Ⅳ·C) and laminin (LN) in diagnosis of hepatic fibrosis.Methods:The present study determined serum content of Ⅳ·C and LN in 83 patients with chronic hepatitis and 23 patients with posthepatitic cirrhosis by radioimmunoassay.Results:Serum level of LN was (145.1±37.9)μg/l,Ⅳ·C (67.6±20)μg/l,in the patients with chronic hepatitis,significantly higher than normal people[LN (115.7±17.3)μg/l、Ⅳ·C (49.7±15)μg/l respectively];in patients with posthepatitic cirrhosis serum level of LN was (207.0±63.3μg/l)、Ⅳ·C (92.9±28.8)μg/l,statistically significant compared respectively with group chronic hepatitis.The correlative analysis showed that there was positive correlation between LN and Ⅳ·C in patients with posthepatitic cirrhosis (r=0.64).The sensitivity of LN and Ⅳ·C in hepatitic cirrhosis was 82.6% and86.9% respectively.Conclusion:There is greatly clinical significance of Ⅳ·C and LN in assessment of existance and development of hepatic fibrosis in patients with chronic liver disease.

詹浩、张永学

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华中科技大学同济医学院附属协和医院核医学科

Ⅳ型胶原 层粘连蛋白 肝纤维化

2001

放射学实践
华中科技大学同济医学院

放射学实践

影响因子:1.08
ISSN:1000-0313
年,卷(期):2001.16(2)
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