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原发性胆管结石病人胆汁免疫学研究
引用本文:杨金镛,吴力群,于秀英,陈颖.原发性胆管结石病人胆汁免疫学研究[J].青岛大学医学院学报,1993(2).
作者姓名:杨金镛  吴力群  于秀英  陈颖
作者单位:青岛医学院附属医院普通外科 (杨金镛,吴力群),青岛医学院附属医院检验科 (于秀英),青岛医学院附属医院检验科(陈颖)
摘    要:对47例原发性胆管结石病人术中胆汁、血清免疫球蛋白和补体成份3(C_3)水平进行检测,并与胆汁细菌培养的关系进行探讨。结果显示此类病人胆汁中IgA含量明显增高,C_3明显下降,血清免疫球蛋白均明显增高,胆汁细菌检出率为95.7%,表明胆道体液免疫反应增加。提示胆汁的细菌感染、胆道局部免疫反应增强可能在胆道结石的形成过程中起一定作用。

关 键 词:胆结石  胆管胆汁  免疫球蛋白类  补体成份

IMMUNOLOGICAL STUDY OF BILE IN PRIMARY BILIARY DUCT STONE
Yang Jinrong,Wu Liqun,Yu Xiuying,et al.IMMUNOLOGICAL STUDY OF BILE IN PRIMARY BILIARY DUCT STONE[J].Acta Academiae Medicinae Qingdao Universitatis,1993(2).
Authors:Yang Jinrong  Wu Liqun  Yu Xiuying  
Institution:Yang Jinrong,Wu Liqun,Yu Xiuying,et al Department of General Surgery
Abstract:The immunoglobulins (Ig) and complement 3 (C_3) levels in the bile and serum from 47 patients with biliary duct stone (PBS) were determined and their relation to the find- ings from bacterial cultures of the bile was studied. It was found that in the bile the IgA content was remarkably increased and the C_3 content remarkably decreased and in the serum the Ig level was elevated significantly. The bacterial cultures of bile showed a positive rate of 95.7%, which indicated that the immune reaction in the biliary duct was enhanced. The above results suggest that bacterial infection and increased immune reac- tion in the biliary duct may play a role in gallstone formation.
Keywords:cholelithiasis  bile duct  bile  immunoglobulin  complement 3
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