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用抗SC的双抗体RIA法检测122例次慢迁肝(CPH)和171例次慢活肝(CAH)患者血清SIgA。结果表明:血清SIgA在CPH组呈低幅升高,在CAH组则较大幅度地升高;两组均值差异大,重迭小;无黄疸的CAH组与CPH组均值相差2.3倍。鉴别诊断评价表明,本指标与临床CPH、CAH诊断符合率分别为85.67%、83.28%,提示血清SIgA可望作为这两型慢肝的鉴别诊断指标。
Serum SIgA levels were measured in 122 patients with slow-moving liver (CPH) and 171 patients with sub-slow-activating liver (CAH) using the anti-SC double antibody RIA method. The results showed that serum SIgA increased slightly in CPH group and increased significantly in CAH group. There was a significant difference between the two groups and a small overlap. In the group without jaundice, the mean value of SIgA was 2.3 times lower than that of CPH group. The differential diagnosis evaluation showed that the coincidence rate of this index and clinical diagnosis of CPH and CAH were 85.67% and 83.28% respectively, suggesting that serum SIgA could be used as a differential diagnosis index for these two types of chronic liver disease.