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[慢性肝病中丙型肝炎、乙肝表面抗原及抗病毒抗体的病例对照研究]

[Case-control study of hepatitis C HBs Ag and antivirus antibodies in chronic hepatopathies].

作者信息

Maiga Moussa Y, Dembele Mamadou, Maiga Ibrahim, Sanago Bougouzié, Sangare Drissa, Traoré Hamar A

机构信息

Service d'hépatogastroentérologie, Hôpital Gabriel-Touré, Bamako, Mali.

出版信息

Sante. 2002 Oct-Dec;12(4):389-92.

Abstract

The aim of this study is to establish the prevalence of hepatitis C HBs Ag and of anti-virus antibodies in chronic hepatopathies. The prospective case-control study was carried out on 91 patients who needed to be treated for chronic hepatopathies and 92 occasional blood donors. The search for hepatitis C HBs Ag and anti-virus antibodies was done using third generation ELISA screening. At the end of the study, HBs Ag was found in 54% of the patients vs. 4.3% of the control (p=0.0006). The two markers were present more frequently in cirrhosis than in hepatocellular carcinoma (HCC) and their association was more frequent in the case of cirrhosis. In Mali, hepatitis B and C viruses play an important part in chronic hepatopathies.

摘要

本研究的目的是确定慢性肝病中丙型肝炎、乙肝表面抗原(HBs Ag)及抗病毒抗体的流行情况。对91例需要接受慢性肝病治疗的患者和92例偶然的献血者进行了前瞻性病例对照研究。采用第三代酶联免疫吸附试验(ELISA)筛查来检测丙型肝炎、乙肝表面抗原(HBs Ag)及抗病毒抗体。研究结束时,在54%的患者中发现了乙肝表面抗原(HBs Ag),而对照组中这一比例为4.3%(p = 0.0006)。这两种标志物在肝硬化患者中比在肝细胞癌(HCC)患者中更常见,且在肝硬化患者中它们同时出现的情况更频繁。在马里,乙型和丙型肝炎病毒在慢性肝病中起着重要作用。

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