胆石症患者手术前后血清甘氨酸结合胆酸和T_3的变化及其临床意义  

PRE AND POST OPERATIVE CHANGES IN SERUM LEVELS OF GLYCOCHOLIC ACID AND 3,5,3’ TRIIODOTHYRONINE AND THEIR CLINICAL SIGNIFICANCE IN PATIENTS WITH CHOLELITHIASIS

作　　者：胡敏[1] 伍汉文[1] 超楚生 杨连粤[1] 熊寿芝[1] 庄赞根 黄喻适 曹亦洪 李炎升 

机构地区：[1]湘雅医院外科

出　　处：《湖南医科大学学报》1997年第2期162-164,共3页Bulletin of Hunan Medical University

摘　　要：观察２２例胆石症患者血清甘胆酸（ＣＧ）与甲状腺激素手术前后的变化。其血清ＣＧ均有不同程度的增高，尤以伴肝硬化者明显。不伴肝硬化者术后ＣＧ和Ｔ３均显著降低，ＣＧ与Ｔ３呈正相关，提示术后血ＣＧ的降低可能与Ｔ３减少有关。血ＣＧ的明显增高有助于肝硬化的诊断，优于Ｂ超与常规肝功能检查。re and post operative changes of serum glycine conjugated cholic acid(CG) and 3,5,3' triiodothyronine(T 3) levels were observed in twenty two patients with cholelithiasis. The increase of the levels of serum CG varied with the patients; the highest levels were seen in patients with cirrhosis. After operation, the levels of serum CG and T 3 were decreased significantly in patients without cirrhosis. There was positive correlation between serum CG and T 3( r=0.4667, P <0.01). It is indicated that the lowering of serum CG after operation may be related to the lowering of serum T 3; the significant increase of serum CG level is useful to the diagnosis of liver cirrhosis, which is more sensitive than Type B ultrasonography or routine examination of liver function.

关 键 词：胆结石 围术期 甘氨酸 胆酸 甲状腺激素 

分 类 号：R657.42[医药卫生—外科学]