CAJ | 학술논문

目的：探讨血清腹水白蛋白梯度在腹水鉴别中的作用。方法取我院2011年~2014年入院待查的100例患者进行回顾性分析，并按出院诊断分成门静脉高压相关病组(55例)非门静脉高压相关病组(45例)。对患者行同一天血清白蛋白浓度、腹水白蛋白浓度进行测定，并计算SAAG(血清腹水白蛋白梯度)，比较两组血清腹水白蛋白梯度与诊断的相关因素。结果门静脉高压相关病组的血清腹水白蛋白梯度为(18.27±2.06)g/L，并明显高于非门静脉高压相关病组的(6.24±1.47)g/L，组间比较差异具有统计学意义(P<0.05)。结论血清腹水白蛋白梯度鉴别诊断明显高于传统的腹水诊断法，但必须联合腹水细胞学检查，从而有效提高腹水诊断的准确性。
목적：탐토혈청복수백단백제도재복수감별중적작용。방법취아원2011년~2014년입원대사적100례환자진행회고성분석，병안출원진단분성문정맥고압상관병조(55례)비문정맥고압상관병조(45례)。대환자행동일천혈청백단백농도、복수백단백농도진행측정，병계산SAAG(혈청복수백단백제도)，비교량조혈청복수백단백제도여진단적상관인소。결과문정맥고압상관병조적혈청복수백단백제도위(18.27±2.06)g/L，병명현고우비문정맥고압상관병조적(6.24±1.47)g/L，조간비교차이구유통계학의의(P<0.05)。결론혈청복수백단백제도감별진단명현고우전통적복수진단법，단필수연합복수세포학검사，종이유효제고복수진단적준학성。
Objective To investigate the serum ascites albumin gradient in thedif erential ef ect of ascites. Methods 100 cases col ected in our hospital from2011-2014 were examined were retrospectively analyzed, and according to the discharge diagnosis into portal hypertension disease group (55 cases) non portal hypertension related disease group (45 cases). On the same day in patients withserum albumin concentration, ascites albumin concentration was measured, and calculate the SAAG (serum ascites albumin gradient), related factors were compared between the two groups of serum ascites albumin gradient and diagnosis. Results The portal vein hypertension disease group, the serum ascites albumin gradient is (18.27 ± 2.06) g/L, and was significantly higher than that ofnon portal hypertension related disease group (6.24 ± 1.47) g/L, with statistical y significant dif erence between the two groups ( < 0.05). Conclusion The serum ascites albumin gradient in dif erential diagnosis of ascites diagnosis was significantly higher than that of traditional method, but must be combined with cytological examination of ascites, which improves the accuracy of the diagnosis of ascites.