血清脂蛋白- x (LP-X)测定对慢性肝病胆汁淤积的诊断意义。

B Milewski, Z Palynyczko
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引用次数: 0

摘要

在179例各种慢性肝病患者中,作者发现20例肝内胆汁淤积的组织学证据,所有这些病例的血清中均存在脂蛋白X (LP-X)。在159例肝组织镜检无胆汁淤积证据的患者中,LP-X仅在2例(1.3%)中被证实。研究结果证实血清LP-X的检测是胆汁淤积症的特异敏感指标,其诊断价值大于血清碱性磷酸酶、γ -谷氨酰转肽酶、亮氨酸肽酶活性或胆固醇的测定。
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Significance of serum lipoproteid-X (LP-X) determination for the diagnosis of cholestasis in chronic liver diseases.

Among 179 patients with various chronic diseases of the liver the authors found in 20 cases histological evidence of intrahepatic cholestasis and in all these cases lipoproteid X (LP-X) was present in the serum. In the group of 159 patients without evidence of cholestasis in microscopic examination of liver tissue LP-X was demonstrated only in two cases (1.3%). The results of investigations confirm the view that detection of LP-X in the serum is a specific and sensitive index of cholestasis and its value in the diagnosis of this condition is greater than that of determinations of alkaline phosphatase, gamma-glutamyl-transpeptidase, leucinamino-peptidase activity or cholesterol in the serum.

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