Counselman F L, Elder D M, Brandecker J G, Silverman M A, Entwistle C B, Hubbard M M, Weiseman J S
Department of Emergency Medicine, Eastern Virginia Graduate School of Medicine, Norfolk 23507.
Am J Emerg Med. 1993 Sep;11(5):453-5. doi: 10.1016/0735-6757(93)90081-l.
The use of serum amylase levels in the diagnosis of acute pelvic inflammatory disease (PID) was investigated prospectively. Eighty-five women presenting with the chief complaint of lower abdominal pain were entered into the study; all patients were examined by one of the principal investigators. In addition to the usual laboratory studies, a serum amylase level was obtained on all patients; the investigators were blinded to the results. Patients were diagnosed with PID if they fulfilled previously published clinical criteria. Forty-eight patients met the criteria for the diagnosis of PID (PID group); 37 patients were diagnosed with other disease processes (non-PID group). The average serum amylase level for the PID group was 62 U/L, with a standard deviation (STD) of 24; for the non-PID group, the average was 76 U/L with an STD of 32. Although there was a statistical difference between the two groups (P < .05), there was no clinically significant difference because both values fell within the normal range of serum amylase. The routine use of serum amylase in the diagnosis of acute PID seems to be of no value.
我们对血清淀粉酶水平在急性盆腔炎（PID）诊断中的应用进行了前瞻性研究。85例以腹痛为主诉的女性纳入本研究；所有患者均由一名主要研究者进行检查。除常规实验室检查外，所有患者均检测血清淀粉酶水平；研究者对结果不知情。若患者符合先前公布的临床标准，则诊断为PID。48例患者符合PID诊断标准（PID组）；37例患者被诊断为其他疾病过程（非PID组）。PID组血清淀粉酶平均水平为62 U/L，标准差（STD）为24；非PID组平均水平为76 U/L，STD为32。虽然两组之间存在统计学差异（P <.05），但无临床显著差异，因为两个值均在血清淀粉酶正常范围内。血清淀粉酶常规用于急性PID的诊断似乎没有价值。
