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非酒精性脂肪性肝炎患者血清CK-18 M30水平测定的意义

齐凤祥 江勇 张颖 宓余强 徐亮 宋国栋

实用医学杂志2016,Vol.32Issue(18):3019-3022,4.
实用医学杂志2016,Vol.32Issue(18):3019-3022,4.DOI:10.3969/j.issn.1006-5725.2016.18.021

非酒精性脂肪性肝炎患者血清CK-18 M30水平测定的意义

Clinical value of Serum CK-18 M30 levels in patients with nonalcoholic steatohepatitis

齐凤祥 1江勇 1张颖 1宓余强 2徐亮 2宋国栋3

作者信息

  • 1. 300211 天津医科大学第二医院消化科
  • 2. 300192 天津市第二人民医院肝内科
  • 3. 300211 天津医科大学第二医院普外科
  • 折叠

摘要

Abstract

Objective To detect the level of serum fragmented cytokeratin 18 (CK-18 M30) in patients with nonalcoholic steatohepatitis (NASH), to explore the relationship between the expression of CK-18 M30 and NASH. Methods 33 healthy people as control group, 24 nonalcoholic simple fatty liver (NAFL) patients, and 21 NASH patients were included in this study. CK-18 M30, ALT, AST and GGT were detected in all patients’ vein blood. NAFLD activity points (NAS) was examined in biopsy specimens of NAFL patients and NASH patients. Pearson correlation was applied to analyze the correlations between serum CK-18 M30, ALT, AST, GGT and the NAS of liver tissue in NASH group. Results Serum CK-18 M30 level of healthy control, NAFL and NASH group were (96.557 2 ± 41.226 8)U/L, (104.321 7 ± 45.167 3)U/L, (263.125 5 ± 61.578 1)U/L respectively. Serum CK-18 M30 level in NASH patients positively correlated with both NAS of liver tissue and serum ALT, which correlation coefficient r values were 0.601 5 and 0.420 6. Conclusion The concentration of serum CK-18 M30 could be used as a marker in the diagnosis of NASH.

关键词

非酒精性脂肪性肝炎/血清细胞角蛋白片段(CK-18 M30)/非酒精性单纯性脂肪肝

Key words

Nonalcoholic steatohepatitis/Serum fragmented cytokeratin 18 (CK-18 M30)/Nonalcoholic simple fatty liver

引用本文复制引用

齐凤祥,江勇,张颖,宓余强,徐亮,宋国栋..非酒精性脂肪性肝炎患者血清CK-18 M30水平测定的意义[J].实用医学杂志,2016,32(18):3019-3022,4.

基金项目

天津市卫生局科技基金项目(编号2015KZ093);天津市卫生局科技基金攻关项目(编号12KG119);天津市卫生和计划生育委员会中医中西医结合科研课题 ()

实用医学杂志

OA北大核心CSTPCD

1006-5725

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