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血清γ-谷氨酰转移酶同工酶在鉴别肝硬化与肝脏恶性肿瘤中的诊断效能

Diagnostic efficiency in discriminating liver malignancies from cirrhosis by serum gamma-glutamyltransferase isoforms.

作者信息

Sacchetti L, Castaldo G, Cimino L, Budillon G, Salvatore F

机构信息

Istituto di Scienze Biochimiche, Università di Napoli, Italy.

出版信息

Clin Chim Acta. 1988 Oct 14;177(2):167-72. doi: 10.1016/0009-8981(88)90138-6.

DOI:10.1016/0009-8981(88)90138-6
PMID:2906821
Abstract

Total GGT and GGT complexed with low-density-lipoprotein plus very low-density lipoprotein (LDL + VLDL) have been evaluated in sera from 53 healthy subjects, 23 patients with chronic hepatitis, 87 with liver cirrhosis and 50 with liver tumors (primary and metastatic). A cut-off of 20 U/l of GGT complexed with LDL + VLDL results in a diagnostic sensitivity of 84% for liver tumor patients, and a diagnostic specificity of about 80% towards the two groups of patients affected by cirrhosis or chronic hepatitis. This test, because of its high diagnostic efficiency, is a useful addition to the battery of laboratory tests that serve to discriminate cirrhosis and chronic hepatitis from liver malignancies.

摘要

对53名健康受试者、23名慢性肝炎患者、87名肝硬化患者和50名肝肿瘤(原发性和转移性)患者的血清进行了总谷氨酰转肽酶(GGT)以及与低密度脂蛋白加极低密度脂蛋白(LDL + VLDL)结合的GGT的评估。与LDL + VLDL结合的GGT临界值为20 U/l时,对肝肿瘤患者的诊断敏感性为84%,对肝硬化或慢性肝炎两组患者的诊断特异性约为80%。由于该检测具有较高的诊断效率,因此是用于区分肝硬化、慢性肝炎和肝脏恶性肿瘤的一系列实验室检测中的一项有用补充。

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