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HBV前S2蛋白检测的临床意义

CLINICAL SIGNIFICANCE OF DETERMINING HBV PRE S2

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【作者】 邬质彬; 苏朝康; 徐国城; 钟世聪;

【Author】 Guangxi Medical College Wu Zhibin,et al

【机构】 广西医学院流行病学教研室; 广西医学院流行病学教研室; 广西医学院附院传染病科;

【摘要】 采用单克隆抗preS2RPHA法检测HBV所致各型肝炎的preS2,检出率为:急肝86.6%、慢迁肝81.2%、慢活肝87.5%、肝硬化83.3%、肝癌80%、HBsAg携带者73.3%,健康人为0。此结果与国内文献报道相似。证明preS2检出在HBsAg携带者中低于各型肝炎。preS2检出与HBeAg阳性检出呈正相关。在慢肝中检出preS2,提示preS2可作为观察病毒复制和预后的指标之一。

【Abstract】 Serum preS2 were measured by monoclonal antibody R-PHA of anti-preS2 in patients with several clinical types of hepatitis B.The positive rates of preS2 in AH,CAH,CPH,CH,PHC,HC and healthy man were 86.6%,81.2%,87.5%,83.3%,80.0%,73.3% and 0% respectively;the highest were those of CAH and AH.The positive rates of HBeAg in preS2 positive patients and preS2 negative patients were 76.4% and 0% respecti- vely.These results revealed that there was a direct relationship between the positive rate of preS2 and the positive rate of HBeAg.The positive rate of preS2 in HBsAg carriers was lower than those of the several clinical types of hepatitis B.These results suggested that preS2 test could be used as markers for evaluating the chronic evolution,HBV replication and the prognosis of hepatitis.

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