腹腔镜与ERCP手术后血清CRP和PCT检测比较分析  

Comparative Analysis of Serum CRP and PCT Detection after ERCP and Laparoscopic Operation

作　　者：周玉宝[1] 陈芦斌[2] 刘芳[1] 武易[1] 房欢[1] 简佩 

机构地区：[1]解放军第四五一医院检验科,西安710054 [2]解放军第四五一医院腔镜外科,西安710054

出　　处：《现代检验医学杂志》2015年第5期4-5,共2页Journal of Modern Laboratory Medicine

摘　　要：目的 比较腹腔镜与内镜逆行胰胆管造影（ERCP）术后患者血清C-反应蛋白（CRP）和降钙素原（PCT）的变化.方法 将2015年1月～4月100例胆石症患者按手术方式分为腹腔镜组50例和ERCP组50例,分别于术后24h对其血清进行CRP和PCT的测定,并对结果进行分析.结果 腹腔镜组PCT水平（0.13±0.04 ng/ml）显著低于ERCP组（10.18±1.23 ng/ml）（P＜0.01,t=3.347）,CRP水平两组差异无显著性（P＞0.05,t=1.433）.结论 PCT在评价患者手术后创伤和感染的严重程度时较CRP具有更高的灵敏度和特异性.Objeetive To compare the changes of CRP and PCT levels after ERCP and laparoscopic operation. Methods Ac- cording to the operation mode the cholelithiasis,100 cases of cholelithiasis were divided into 50 cases of laparoscopic group and 50 cases of ERCP group from January to April of 2015,serum CRP and PCT after 24h for determination were analyzed respectively. Results The levels of PCT of laparoscopic group （0.13±0.04 ng/ml） was significantly lower than that of ER- CP group （10.18±1.23 ng/ml）（P〈0.01 ,t= 3. 347）,the difference of CRP levels between the two groups had no signifi- cant difference （P〉0.05,t= 1. 433）. Conclusion In the evaluation of the severity of trauma and infection after surgery in patients PCT has higher sensitivity and specificity than CRP.

关 键 词：腹腔镜 C-反应蛋白 降钙素原 

分 类 号：R657.42[医药卫生—外科学] R446.112[医药卫生—临床医学]