血清淀粉酶和脂肪酶联合测定在急性胰腺炎诊断中的意义  

Significance of combination detection of serum amylase and lipase in diagnoses of acute pancreatitis

作　　者：赵耿生[1] 王文武[1] 张真路[1] 

机构地区：[1]武汉亚洲心脏病医院检验中心,湖北武汉430022

出　　处：《国际检验医学杂志》2015年第7期906-907,共2页International Journal of Laboratory Medicine

摘　　要：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。Objective To evaluate the value of the combination detection of serum amylase（AMY）and lipase（LPS）in the diagnose of acute pancreatitis.Methods Serum AMY and LPS were detected in 51 patients with acute pancreatitis,418 patients with acute 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 418non-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.

关 键 词：淀粉酶 脂肪酶 急性胰腺炎 

分 类 号：R576[医药卫生—消化系统]