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血清HA、PCⅢ、Ⅳ-C和LN水平对诊断肝纤维化的临床意义 被引量:6

The Diagnostic Value of Serum HA,PCⅢ,Ⅳ-C and LN for Hepatofibrosis
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摘要 为探讨血清HA、PCⅢ、Ⅳ -C和LN水平对诊断肝纤维化的临床价值 ,对 180例慢性肝病患者分别采用RIA测定血清HA、PCⅢ、Ⅳ -C和LN水平。结果表明 ,血清HA、PCⅢ、Ⅳ -C和LN水平在慢性肝炎中度、重度及肝硬化患者明显高于对照组 (P <0 .0 5 ) ,且随着肝脏炎症和纤维化程度的加重而升高。结论是血清HA、PCⅢ、Ⅳ -C和LN水平可反映肝纤维化程度 ,四项联合检测是判断肝纤维化和早期肝硬化的无创伤性的、相对灵敏的指标。 To evaluate the diagnostic value of serum hyaluronic acid(HA),type Ⅲ procollagen(PCⅢ), typeⅣcollagen(IV-C)and laminin(LN)for hepatofibrosis, these 4 serum components were measured by RIA in 180 cases with chronic liver disease. The serum levels of HA, PCⅢ,Ⅳ-C and LN in chronic hepatitis and cirrhosis patients were significantly higher than those in the control group( P <0.05)and increased with the development of hepatitis and fibrosis. These items could reflect the degree of hepatic fibrosis and might be the indicators of hepatic cirrhosis in early stage.
出处 《标记免疫分析与临床》 CAS 2002年第4期207-208,共2页 Labeled Immunoassays and Clinical Medicine
关键词 诊断 临床意义 慢性肝病 肝纤维化 透明质酸 Ⅲ型前胶原 Ⅳ型胶原 层粘连蛋白 Chronic hepatic disease Hepatofibrosis Hyaluronic acid Type Ⅲ procollagen Type Ⅳ collagen Laminin
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  • 2Eriksson S,Frasser JR.Laurent TC,et al.Endothelial cells are a site of uptake and degradation of hyaluronic acid in the liver.EXP cell Res.1983.144(2):223.
  • 3Guechot.J.Laudat.A.Loria.A.et al.Diagnostic accuracy of hyaluronan and type II procollagen aminoterminal peptide seruon assays as markers of liver fibrosis in chronic viral hepatitis C evaluated by ROC curve analysis.Clin-chem.1996.42(4):588.
  • 4蔡卫民,孙永良,张立煌,刘荣华,江国运,余亚新,杨汉青,朱立专.肝纤维化血清学诊断指标谱的初步探讨——附612例慢性肝病患者11项血清学检测结果分析[J].中西医结合肝病杂志,1995,5(1):3-6. 被引量:16

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