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肝炎组织学变化与血清Ⅲ型前胶原含量的关系─102例肝活检分析 被引量:4

Relationship Between the Histological Changes of Hepatitic Tissue and the Levels of Serum Precollagen Type Ⅲ-Analysis of 102 Liver Biopsies
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摘要 应用血清Ⅲ型前胶原(PCⅢ)放免法试剂盒检测急、慢性肝炎及肝硬化患者616例血清PCⅢ含量,其中102例作了肝活检,病理改变用记分判定。结果发现:与健康对照比较,急性肝炎、慢迁肝、慢活肝及肝硬化患者血清PCⅢ含量均明显升高,差异显著(P<0.05~0.001)。其升高的血清PCⅢ与肝细胞坏死的范围及门管区炎症程度无相关性(r=0.494;P>0.05),而与肝纤维化程度呈密切正相关(r=0.668;P<0.01)。提示血清PCⅢ测定有助于肝炎,肝硬化时肝纤维化程度的判断。 The serum precollagen type Ⅲ(PCⅢ)of 616 patients with acute hepatitis,chronic hepatitis and hepatic cirrhosis were determined by RIA kit. Among them 102 liver biopsies were obtained and observed by calculation of score.The results showed that the serum PCⅢ levels of the patients with acute hepatitis,chronic persistent hepatitis ,chronic active hepatits and hepatic cirrhosis were all significantly higher than normol control.The levels of serum PCⅢ were not related to the area of necrosis of hepatocyte and the grade of inflamation of portal area,(r=0.494;P>0.05)but positively closely related to the grade of hepatic fibrosis(r=0.668; P<0.01).It suggests that the determination of serum PC Ⅲis useful in the diagnosis of degree of hepatic fibrosis of hepatitis or cirrhosis.
出处 《胃肠病学和肝病学杂志》 CAS 1994年第4期288-291,共4页 Chinese Journal of Gastroenterology and Hepatology
关键词 血清Ⅲ型前胶原 肝活检 肝纤维化 肝组织炎症活性指标 serum precollagen type Ⅲ liver biopsy hepatic fibrosis hepatisis activity index
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  • 1殷蔚荑,王宝恩,马晓丽,常德成,黄德庄,范大炽.血清Ⅲ型前胶元肽测定在肝纤维化诊断中的意义[J]临床肝胆病杂志,1986(03).
  • 2Prof. C. Surrenti MD,A. Casini MD,S. Milani MD,S. Ambu MD,P. Ceccatelli MD,A. D’Agata B.Sc.. Is determination of serum N-terminal procollagen type III peptide (sPIIIP) a marker of hepatic fibrosis?[J] 1987,Digestive Diseases and Sciences(7):705~709

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