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血管炎患者抗中性粒细胞胞浆抗体检测及临床意义
引用本文:谭立明,彭卫华,徐承云,简秋生. 血管炎患者抗中性粒细胞胞浆抗体检测及临床意义[J]. 实用临床医学(江西), 2002, 3(1): 18-19
作者姓名:谭立明  彭卫华  徐承云  简秋生
作者单位:江西医学院第二附属医院 江西南昌330006(谭立明,徐承云),江西医学院第一附属医院 江西南昌330006(彭卫华),新余钢铁公司第一医院 江西新余338013(简秋生)
摘    要:
目的 :探讨应用抗中性粒细胞胞浆抗体 (ANCA)检测血管炎患者方法及意义。方法 :以健康人血液中性粒细胞为抗原基底 ,回顾性总结了 6 1例各种血管炎患者及 5 0例健康献血员 (ANCA)的检测率。结果 :6 1例各种血管炎患者的阳性率为 34.4 3% ,其中 ,韦格内氏肉芽肿 (WG)阳性率为 5 3.5 7% (15 / 2 8) ;大动脉炎阳性率为 16 .6 7%(2 / 12 ) ;未分类血管炎阳性率为 19.0 5 % (4/ 2 1)。 5 0例健康献血员全阴性。结论 :ANCA是血管炎疾病敏感而特异的血清标志抗体 ,对以WG为代表的该项疾病诊断和鉴别诊断及治疗具有重要的意义

关 键 词:抗中性粒细胞胞浆抗体  韦格内氏肉芽肿  血管炎
文章编号:1009-8194(2002)01-0018-02
修稿时间:2001-09-02

Clinical Significance of Determination of Serum Anti Neutrophil Cytoplasmic Antibody in Patients with Vasculitis
Tan Li ming ,Peng Wei hua ,Xu Cheng yun ,Jian Qiu sheng. Clinical Significance of Determination of Serum Anti Neutrophil Cytoplasmic Antibody in Patients with Vasculitis[J]. Practical Clinical Medicine, 2002, 3(1): 18-19
Authors:Tan Li ming   Peng Wei hua   Xu Cheng yun   Jian Qiu sheng
Affiliation:Tan Li ming 1,Peng Wei hua 2,Xu Cheng yun 1,Jian Qiu sheng 3
Abstract:
Objective: To evaluate the significance of determination of serum anti Neutrophil Cytoplasmic antibody in diagnosis of Vasculitis. Methods: 61 patients with Vasculitis and 50 normal blood donors were reviewed about their ANCA positive rates. Results: The positive rate of serum ANCA in the 61 cases was 34.43% (21/61 cases). 15 of 28 cases (53.57%) of wegener granulomatosis (WG), 2 of 12 cases( 16.67 %) of aorto arthritis, and 4 of 21 cases (19.05%) of non classification Vasculitis showed a positive serum ANCA. The serum ANCA, however, was not detected in 50 normal blood denors. Conclusion: The determination of serum ANCA can be used as a sensitive and specific serum marker for diagnosis of Vasculitis, especially for WG.
Keywords:anti neutrophil cytoplasmic antibody  wegener granulomatosis  vasculitis
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