文章摘要
李小溪 李波 李筱涵 郭晓东 陈伟蛟 陈澎 孙志强.肝纤维化相关细胞因子的血清学检测对慢性乙型肝炎肝 纤维化进程的诊断价值[J].,2014,14(16):3109-3111
肝纤维化相关细胞因子的血清学检测对慢性乙型肝炎肝 纤维化进程的诊断价值
Diagnostic Values of Relative Markers in Serumof Patients with HBVon the Progression of Liver Fibrosis
  
DOI:
中文关键词: 血清学指标  慢性乙型肝炎  肝纤维化  诊断价值
英文关键词: Serumbiomarker  Chronic hepatitis B  Liver fibrosis  Diagnosis value
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李小溪 李波 李筱涵 郭晓东 陈伟蛟 陈澎 孙志强 解放军第302 医院 
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中文摘要:
      目的:检测慢性乙型肝炎患者血清中相关细胞因子的水平,为慢性乙型肝炎肝纤维化的分期提供诊断依据。方法:选择175 例在我院接受治疗的慢性乙型肝炎患者作为研究对象,采用ELISA 方法检测患者血清中基质金属蛋白酶抑制剂(TIMP-1, TIMP-2)、脂连素及其受体(AdipoQ)、瘦素(Leptin)、生长因子(PDGF)、骨桥蛋白(OPN) 6项指标的含量,并利用ROC 曲线对各指标 与肝纤维化分期之间的关系进行相关性分析。结果:TIMP-1、TIMP-2、Leptin 在不同纤维化组中呈差异性表达,且AUROC高于其 他指标(P<0.05);其余指标无统计学意义(P>0.05)。结论:TIMP-1、TIMP-2、Leptin 这3项指标对慢性乙型肝炎肝纤维化分期具有一 定的辅助诊断价值,与其他指标相结合可获得更好的诊断效能。
英文摘要:
      Objective: To investigate the diagnostic values of serum markers in liver fibrosis stages of chronic hepatitis B.Methods:The concentrations of TIMP-1, TIMP-2, AdipoQ, Leptin, PDGF and OPN in serum of 175 CHB patients were detected by means of ELISA and the relationships between the serum levels of markers and the liver fibrosis stages were analyzed by ROC curve.Results:There were statistically significant differences about the levels of TIMP-1, TIMP-2 and Leptin in serum of patients on different liver fibrosis stages (P<0.05), and the AUROCs were higher than others. The other three markers had no statistically significant differences (P>0.05).Conclusion:TIMP-1, TIMP-2 and Leptin had some diagnostic values in liver fibrosis stages of CHB patients. It is better to be detected with other markers in serumfor the diagnostic of liver fibrosis.
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