Pap A, Berger Z, Varró V
Acta Med Hung. 1986;43(1):39-43.
The diagnostic efficacy of some tubeless screening tests was examined in chronic pancreatitis patients with different degrees of pancreatic insufficiency. Results of the Pancreolauryl and Lipiodol tests were equal in the same patients. Sensitivity of the Lipiodol test, starch tolerance test and PABA test was 80%, 90% and 57%, respectively. Specificities were 48%, 57% and 100%. Sensitivity increased considerably when two tubeless tests were used in combination: 99% and 90% of patients had at last one abnormal result with starch tolerance + Lipiodol and PABA + Lipiodol tests, respectively. The specificity did not change significantly. Combination of tubeless tests seems to be useful for screening of mild and moderate pancreatic diseases because false negative results of single tests caused possibly by non-parallel enzyme secretion can be avoided.
在不同程度胰腺功能不全的慢性胰腺炎患者中，对一些无管筛查试验的诊断效能进行了检测。在同一患者中，月桂酸对氨基苯甲酰乙酯试验和碘油试验的结果相同。碘油试验、淀粉耐量试验和对氨基苯甲酸试验的敏感性分别为80%、90%和57%。特异性分别为48%、57%和100%。当两种无管试验联合使用时，敏感性显著提高：淀粉耐量试验 + 碘油试验和对氨基苯甲酸试验 + 碘油试验分别有99%和90%的患者至少有一项异常结果。特异性没有明显变化。无管试验联合似乎有助于筛查轻度和中度胰腺疾病，因为可以避免可能由非平行酶分泌导致的单项试验假阴性结果。
