Plomteux G, Toulet J, Albert A, Amrani N
Ann Biol Clin (Paris). 1975;33(6):411-22.
An original method of statistical treatment of biological data is proposed. It permits satisfactory biochemical classification of 322 patients divided up into 3 groups : intrahepatic cholestasis (235 patients), extrahepatic obstruction (44 patients) and carcinoma of the liver (43 patients). On the basis of 32 tests, it was possible to define discriminating areas permitting satisfactory diagnosis in 95 per cent of published cases. The reduction in the number of tests necessary for diagnosis was considered. The selection technic used was original to the extent that it dose not require, like most methods used today, the determination of better individual discriminators, but the establishment of a better discriminating subunit, obtained from the initial subunit composed of a group of variables. From the 32 parameters contained in the standard liver function tests, a search for a better discriminating subunit consisting of the best four tests, permitted the authors to select a group of 10 tests : bilirubin, alkaline phosphatase, 5-nucleotidase, Thymolturbidity, Cetavlon test, serum albumin, total LDH, TGP (ALAT), OCT, GLDH, of which the discriminating value remains very satisfactory.
提出了一种生物数据统计处理的原始方法。它能对322例患者进行令人满意的生化分类,这些患者分为3组:肝内胆汁淤积(235例患者)、肝外梗阻(44例患者)和肝癌(43例患者)。基于32项检测,有可能确定鉴别区域,在95%的已发表病例中实现令人满意的诊断。考虑了诊断所需检测数量的减少。所采用的选择技术具有独特性,因为它不像当今大多数方法那样需要确定更好的个体鉴别指标,而是要建立一个更好的鉴别亚组,该亚组是从由一组变量组成的初始亚组中获得的。从标准肝功能检测包含的32个参数中,寻找由最佳的四项检测组成的更好的鉴别亚组,使作者能够选出一组10项检测:胆红素、碱性磷酸酶、5-核苷酸酶、麝香草酚浊度、西他氯铵试验、血清白蛋白、总乳酸脱氢酶、谷丙转氨酶(ALT)、鸟氨酸氨基甲酰转移酶(OCT)、谷氨酸脱氢酶(GLDH),其鉴别价值仍然非常令人满意。