摘要
本文对50例肝病性腹水和15例非肝脏恶性腹水中胆固醇和血清—腹水白蛋白含量量进行了测定,并与腹水TP、TPR、LDH、LDHR做了比较。结果表明,恶性腹水组胆固醇含量较肝病组为高(P均<0.01),而S—A较肝病组为低(P均<0.01)。腹水胆固醇>44mg/dl和S—A<1.1g/dl对区分肝病性腹水和恶性腹水有效性分别为98％和96％,优于其它检验项目。本文结论:腹水胆固醇测定对恶性腹水敏感性高、特异性强,而S—A为门脉高压性腹水的可信指标;两者合对区分肝病性腹水和恶性腹水具有重要临床价值。
In this study, measuring of ascites cholesterol and serumascitic albumin difference were performed in 65 patients: 50 patients with hepatic ascitis and 15 patients with malignant ascites. Furthermore, they were compared with ascites TP, TP_R, LDH and LDH_R. The results showy that the ascitic cholesterol increased in the group with malignant ascitcs (P<0.01) and serum-ascites albumin difference increased in the group with hepatic ascitis (P<0.01) . When the ascitic cholesterol more than 44mg/dl, it was effective of 98% to differentiate the malignant and hepatic aseites, and when the serum-ascites albumin difference less than, 1.1g/dl, it was effective of 96%. So they were better than others. Then we reached the conclusion that the measuring of ascitis cholesterol has a high sensitivity and spccificity to the malignartt ascites, while the serum ascitis albumin difference was reliable test to the hepatic ascites. To combine the measuring of the ascitis cholesterol and the serum-ascites albumin difference is very important to differentiate the malignant and hepatic ascites in clinic.
出处
《临床消化病杂志》
1990年第4期169-172,共4页
Chinese Journal of Clinical Gastroenterology
关键词
腹水
胆固醇
血清—腹水白蛋白梯度
肝病性腹水
恶性腹水
ascites, cholesterol, serum-ascitic albumin difference, hepatic ascite, malignant ascites
