Relationship between serum ferritin and the indexes of hepatic fibrosis
-
摘要: 研究慢性肝病患者血清铁蛋白(SF)与血清肝纤维化指标(透明质酸HA、层粘连蛋白LN、血清Ⅲ型前胶原肽PⅢP、Ⅳ型胶原CⅣ)及病理分期的相关性。采用酶联免疫及放射免疫法,对85例慢性肝病患者检测SF及肝纤维化四项指标,并对其中50例慢性肝炎患者行肝穿活检。慢性肝病患者SF、肝纤维化四项指标与正常对照组比较差异显著,SF随慢性肝炎及肝硬化临床分型及Child-Pugh分级的逐渐加重而升高。SF随病理分期依次增高,与S0期比较P<0.01;SF与HA、LN、PⅢP、CⅣ具有相关性(r值为0.68,0.58,0.47,0.61)。提示肝铁代谢异常与肝纤维化的发生发展密切相关。对于判断肝纤维化的程度有一定的临床意义。Abstract: To study the relationship between levels of serum ferritin (SF) and the indexes of hepatic fibrosis, such as hyaluronic acid (HA) , type Ⅲ procollage (PⅢP) , Laminin (LN) , type Ⅳ collagen (CⅣ) and pathobiologic stage, in patients with chronic hepatic disease.Serum samples from 85 patients with chronic hepatic disease were tested with MRIA and RIA for serum ferritin and fibrosis indexes including HA, LN, PⅢP and CⅣ.Thereinto 50 cases accepted liver biopsy for pathobiologic stage.The levels of serum ferritin and the fibrotic indexes increased gradually in pace with the progression of liver diseases and obviously higher than those in normal controls.The levels of serum ferritin were elevated with the progression of hepatic fibrotic stages (from S1 to S4 compared with S0, P<0.01) .There were correlation between SF and HA, LN, PⅢP or CⅣ (r=0.68, 0.58, 0.47, 0.61) .The levels of serum ferritin and serum fibrotic indexes might play an important indicative role in differentiating hepatic fibrotic degrees.
-
Key words:
- hepatic fibrosis /
- serum ferritin /
- chronic hepatitis
-
[1]中华医学会.病毒性肝炎防治方案[J].中华肝病杂志, 2000, 8 (6) ∶328-329. [2]李增禧, 梁业成.铁是生命攸关的微量元素[J].广东省微量元素科学 (Guang dong Microelem Sci) , 1994, 1 (3) ∶54-55. [3]Iancu TC, Deugnier Y, Halliday JW, et al.Morphologic characteris-tic of HBV markers and products of iron metabolism in liver tissue inpatients with hepatitis B virus[J].Vojnosanit Pregl, 1993, 49∶477. [4]肖创清, 何去南.血清铁蛋白放射免疫分析的临床应用价值[J].放射免疫学杂志, 2005, 18 (1) ∶60-61. [5]Huang CW, Bai L.Iron overload and liver diseases[J].J First Mili-tary Medical University/Di Yi Jun Yi Da Xue Bao, 2002, 22 (4) ∶370-371.
本文二维码
计量
- 文章访问数: 2451
- HTML全文浏览量: 17
- PDF下载量: 1211
- 被引次数: 0