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作者评价了唾液酸(SA)及其脂质结合物(LSA)诊断恶性腹水的准确度,同时测定了对腹水有鉴别诊断价值的试验:白蛋白(A)、总蛋白(TP)、乳酸脱氢酶(LDH)、胆固醇(Ch)、纤维结合蛋白(Fn)、白细胞计数(WBC)、r-谷氨酰转肽酶(r-GT)和葡萄糖,并进行了比较。67例腹水分为:1.无菌腹水:40例慢性肝病,基于临床诊断及2-FP<10mg/ml,腹部超声扫描无恶性迹象,其中23例经组织学证实。2.27例恶性腹水分为三组:(1)13例经组织学证实为腹膜转移癌;(2)7例肝脏转移癌无腹膜受累。诊断基于组织学检查,腹部CT 扫描.手术或尸检;(3)肝
The authors evaluated the accuracy of sialic acid (SA) and its lipid conjugates (LSA) in the diagnosis of malignant ascites, and assayed tests for the differential diagnosis of ascites: albumin (A), total protein (TP), and lactate Hydrogenase (LDH), cholesterol (Ch), fibronectin (Fn), white blood cell count (WBC), r-glutamyl transpeptidase (r-GT) and glucose were compared and compared. 67 cases of abdominal water were as follows: 1. Aseptic ascites: 40 cases of chronic liver disease, based on clinical diagnosis and 2-FP <10mg/ml, abdominal ultrasound scan no signs of malignant, of which 23 cases were confirmed by histology. 2.27 cases of malignant abdominal fluid were divided into three groups: (1) 13 cases were histologically confirmed as peritoneal metastatic carcinoma; (2) 7 cases of metastatic liver cancer had no peritoneal involvement. Diagnosis based on histological examination, abdominal CT scan, surgery or autopsy; (3) liver