摘要
目的探讨血清腹水白蛋白梯度在腹水性质鉴别中的价值。方法收集122例不同性质的腹水病人,常规进行生化、细胞计数及分类、脱落细胞学等检查,同时测定血清以及腹水白蛋白浓度,采用传统分类法和SAAG法对其分类。结果高SAAG组和低SAAG组其SAAG值分别为14.57±2.13g/L和8.26±1.87g/L,两者比较,P<0.05。SAAG对门脉高压的诊断敏感性达95.45%(84/88),特异性为100%(34/34),准确性为96.72%(118/122)。结论按照SAAG将腹水区分为门脉高压性腹水和非门脉高压性腹水,避免了传统分类中腹水性质与病因交叉的现象,操作简单,易于开展,临床实用性强,值得推广。
Objective ： To study the value of the serum-ascites albumin gradient in the differentiation of ascites. Methods： The concentrations of albumin in serum and ascites except from routine content were measured in 122 cases of aseites with different origins, and were classified according to the traditional taxonomy and SAAG. Results ： The values of SAAG in groups of higher-SAAG and lower-SAAG were 14.57 ±2.13g/L and 8.26 ± 1.87g/L respectively （P〈0.05）, the sen- sitivity of SAAG was 95.45% （84/88）, with the speciality of 100% （34/34） and veracity of 96.72% （118/122） in the diagnosis of portal vein hypertension. Conclusion ： The classifying of the ascites caused by portal hypertension or nonportal hypertension on the basis of SAAG is easy to operate and apply, which is worthy practising.
出处
《泰山医学院学报》
CAS
2007年第6期422-423,共2页
Journal of Taishan Medical College
关键词
腹水
白蛋白
鉴别
ascites
albumin
differentiation
