[1]周玉宝a,陈芦斌b,刘芳a,等.腹腔镜与ERCP手术后血清CRP和PCT检测比较分析[J].现代检验医学杂志,2015,30(05):4-5.[doi:10.3969/j.issn.1671-7414.2015.05.002]
　ZHOU Yu-baoa,CHEN Lu-binb,LIU Fanga,et al.Comparative Analysis of Serum CRP and PCT Detection after ERCP and Laparoscopic Operation[J].Journal of Modern Laboratory Medicine,2015,30(05):4-5.[doi:10.3969/j.issn.1671-7414.2015.05.002]
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腹腔镜与ERCP手术后血清CRP和PCT检测比较分析()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第30卷
期数:
2015年05期
页码:
4-5
栏目:
综合报道·经验交流
出版日期:
2015-12-10

文章信息/Info

Title:
Comparative Analysis of Serum CRP and PCT Detection after ERCP and Laparoscopic Operation
作者:
周玉宝a; 陈芦斌b; 刘芳a; 武易a; 房欢a; 简佩a
解放军第四五一医院a.检验科；b.腔镜外科，西安710054
Author(s):
ZHOU Yu-baoa; CHEN Lu-binb; LIU Fanga; WU Yia; FANG Huana; JIAN Peia
a.Department of Clinical Laboratory； b.Department of Surgery Laparosope，the No.451 Hospital of PLA，Xi’an 710054，China
关键词:
腹腔镜; C-反应蛋白; 降钙素原
分类号:
R657.42；R446.112
DOI:
10.3969/j.issn.1671-7414.2015.05.002
文献标志码:
A
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。
Abstract:
ObjectiveTo compare the changes of CRP and PCT levels after ERCP and laparoscopic operation．MethodsAccording 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．ResultsThe levels of PCT of laparoscopic group (0.13+0.04 ng/ml) was significantly lower than that of ERCP group (10.18±1.23 ng/ml)(P<0.01，t=3.347)，the difference of CRP levels between the two groups had no significant difference (P>0.05，t=1.433)．ConclusionIn the evaluation of the severity of trauma and infection after surgery in patients PCT has higher sensitivity and specificity than CRP．

参考文献/References:

［1］罗涛．应用腹腔镜手术治疗急性结石性胆囊炎的效果与分析［J］．当代医药论丛，2014，12(19)：260-262．
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[3]汪丽儿．2种血清降钙素原定量检测系统的性能评价［J］．现代检验医学杂志，2012，27(5)：119-121．
[4]Lacroix L，Manzano S，Galetto A，et al．Procalcitonin measurement for detection of serious bacterial infection in febrile children:comparison between two automated immunoassays［J］．Clin Biochem，2012，45(7/8)：593-595．
[5]傅军，吴雪英，王守铭，等．腹腔镜与开腹手术在外科急腹症应用的临床对比分析［J］．福建医药杂志，2014，36(6)：32-34．
[6]Chen SM，Chang HM，Hung TW，et al．Diagnostic performance of procalcitonin for hospitalized children with acute pyelonephritis presenting to the paediatric emergency department［J］．Emerg Med J，2013，30(5)：406-410．
[7]阚雄文，张松柏，谢雄伟，等．腹腔镜治疗小儿穿孔性阑尾炎对血清C反应蛋白和降钙素原的影响［J］．中国微创外科杂志，2013，13(6)：496-499．

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备注/Memo

备注/Memo:
作者简介：周玉宝(1962-)，男，本科，主任技师，研究方向：临床检验与免疫学，Tel：029-84734178。 通讯作者：刘芳(1980-)，女，硕士研究生，主治医师，研究方向：临床检验，Tel：029-84734177。
更新日期/Last Update: 1900-01-01