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急性胰腺炎淀粉酶脂肪酶检测的意义
Combined diagnostic value of AMS and LPS in acute pancreatitis
【摘要】 目的:对临床疑为急性胰腺炎的 98 例患者,同时测定淀粉酶和脂肪酶活力,以观察它们对急性胰腺炎的诊断价值. 方法:运用临床流行病学诊断试验的方法,分别计算淀粉酶、脂肪酶及淀粉酶和脂肪酶联合对急性胰腺炎诊断的敏感度、特异度和准确度. 结果:淀粉酶对急性胰腺炎诊断的敏感度、特异度和准确度分别是 89.6% ,940% ,91.8% ;脂肪酶对急性胰腺炎诊断的敏感度、特异度、准确度分别是 95.8% ,940% ,949% . 淀粉酶和脂肪酶联合诊断的敏感度是100% 、特异度为980% 、准确度是990% . 结论:淀粉酶和脂肪酶联合检测可提高诊断的阳性率和符合率.
【Abstract】 AIM:To investigate the diagnostic value of combined amylase(AMS) and lipase(LPS) assay in acute pancreatitis. METHODS:Ninety eight patients suffering from upper abdominal pain were studied by clinical epidemiological method. Sensitivity,specificity and accuracy of both enzymes were evaluated singly and combinedly. RESULTS:Sensitivity,specificity and accuracy of AMS for acute pancreatitis were 89.6%,94 0% and 91.8% respectively;sensitivity, specificity and accuracy of LPS for acute pancreatitis were 95.8%,94 0% and 94.9%,respectively, sensitivity,specificity and accuracy of combined AMS and LPS were 100%,98.0% and 99 0%. CONCLUSION:Combined assay of AMS and LPS can enhance the accuracy in diagnozing acute pancreatitis.
- 【文献出处】 第四军医大学学报 ,JOURNAL OF THE FOURTH MILITARY MEDICAL UNIVERSITY , 编辑部邮箱 ,1999年07期
- 【分类号】R576
- 【被引频次】21
- 【下载频次】301