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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 paper, 50 cases of liver ascites and 15 cases of non-liver malignant ascites cholesterol and serum-ascitic albumin content was measured and compared with ascites TP, TPR, LDH, LDHR were compared. The results showed that the cholesterol content of malignant ascites group was higher than that of liver disease group (all P <0.01), while S-A was lower than that of liver disease group (all P <0.01). Ascites cholesterol> 44 mg / dl and S-A <1.1 g / dl were 98% and 96%, respectively, superior to those of other test items in distinguishing between hepatic ascites and malignant ascites. This paper concludes that ascitic fluid cholesterol is sensitive and specific to malignant ascites, whereas S-A is a credible indicator of portal hypertension ascites. The combination of the two has important clinical value in distinguishing liver ascites from malignant ascites.