摘要
目的 研究血清总胆汁酸(TBA)水平对肝胆疾病的诊断价值。方法 应用循环酶速率法对161例肝胆疾病病人(病例组)及104例对照者的TBA水平进行检测,并同时测定其他肝功能指标。结果 肝硬化组、原发性肝癌组、梗阻性黄疸组血清TBA水平均明显高于对照组(F=53.92,q=5.31~16.82,P〈0.01),并且肝硬化组和梗阻性黄疸组的TBA水平明显高于原发性肝癌组(q=5.12、9.55,P〈0.01)。血清TBA在肝硬化、原发性肝癌及梗阻性黄疸中的阳性率明显高于其他肝功能指标(χ^2=12.99~67.56,P〈0.01)。结论 TBA是反映肝胆疾病较灵敏的生化指标,对肝胆疾病的诊断具有重要的临床意义。
Objective To assess the diagnostic value of serum total bile acid (TBA) in diseases of liver and gall. Methods Serum bile acid was detected by cyclophorase assay in 161 patients with liver diseases and 104 normal controls. Other liver function tests were done at the same time. Results TBA levels in cirrhosis, obstructive jaundice diseases, and primary hepatic carcinoma were higher than that of the controls (F=53.92;q=5.31-16.82;P〈0.01). Moreover, TBA levels in cirrhosis and obstructive jauridice diseases were higher than that of primary hepatic carcinoma (q=5.12,9.55;P〈0.01). Conclusion TBA is a fairly sensitive index reflecting diseases of liver and gall, which is of great improtance in the diagnosis of the disease.
出处
《齐鲁医学杂志》
2009年第6期517-518,共2页
Medical Journal of Qilu
关键词
胆汁酸类和盐类
肝疾病
诊断
Bile acid and salts
Liver disease
Diagnosis