CAJ | 학술논문

目的：探讨血清淀粉酶（AMY）和脂肪酶（LPS）测定在急性胰腺炎诊断中的价值。方法对51例急性胰腺炎患者、418例其他原因所致急腹症患者和78例健康对照组人员进行血清淀粉酶和脂肪酶测定。结果51例急性胰腺炎患者中，AMY和LPS升高的敏感性分别为86．3％和92．2％。418例非急性胰腺炎的急腹症患者中，AMY、LPS升高和二者均升高的特异性分别为90．4％、91．7％和100％。结论联合测定血清AMY和LPS可提高急性胰腺炎诊断的敏感性和特异性，对急性胰腺炎的快速诊断具有重要意义。
목적：탐토혈청정분매（AMY）화지방매（LPS）측정재급성이선염진단중적개치。방법대51례급성이선염환자、418례기타원인소치급복증환자화78례건강대조조인원진행혈청정분매화지방매측정。결과51례급성이선염환자중，AMY화LPS승고적민감성분별위86．3％화92．2％。418례비급성이선염적급복증환자중，AMY、LPS승고화이자균승고적특이성분별위90．4％、91．7％화100％。결론연합측정혈청AMY화LPS가제고급성이선염진단적민감성화특이성，대급성이선염적쾌속진단구유중요의의。
Objective To evaluate the value of the combination detection of serum amylase (AMY) and lipase(LPS) in the diag‐nose of acute pancreatitis .Methods Serum AMY and LPS were detected in 51 patients with acute pancreatitis ,418 patients with a‐cute abdomen disease and 78 healthy control subjects .Results The sensitivity of serum AMY and LPS increase in 51 patients with acute pancreatitis was 86 .3 % and 92 .2 % respectively .The specificity of serum AMY and LPS increase ,and both AMY and LAS increase in 418 non‐pancreatitis patients with acute abdomen disease was 90 .4% ,91 .7% and 100% respectively .Conclusion The combination detection of serum AMY and LPS can increase the sensitivity and specificity for diagnosing acute pancreatitis and has an important significance for rapid diagnosis of acute pancreatitis .