中国全科医学2011，Vol.14Issue(6)：687-689,3.
超声量化指标对慢性肝炎肝纤维化的诊断价值研究
Evaluation of the Value of Ultrasonography in the Diagnosis of Liver Fibrosis in Chronic Hepatitis B Patients
徐桂娟 1杨晴 1刘东屏 2陈阳1
作者信息
- 1. 110006,辽宁省沈阳市第六人民医院
- 2. 中国医科大学第一临床学院消化内科
- 折叠
摘要
Abstract
Objective To discuss the diagnostic value of ultrasonography ( US ) for detecting the severity of hepatic fibrosis in chronic hepatitis B patients. Methods 448 chronic hepatitis B patients were evaluated by US. The results of US were compared with the results of pathological diagnosis to determine the most valuable factor for diagnosing hepatic fibrosis in chronic hepatitis B patients. Results The spleen length ( SPL ), gall-bladder wall thickness, spleen thickness ( SPT ), internal diameter of portal vein and the internal diameter of splenic vein showed a positive correlation with liver fibrosis level ( P＜0. 01 ), spearman correlation coefficient ( r) were 0.501, 0.496, 0.491, 0.334 and 0. 160 respectively, and all these parameters showed statistics differences among patients with different hepatic fibrosis levels ( P ＜0. 05 ). SPL and SPT had important significance in diagnosing patients in ≥S2 stages especially in ＞ S3 [ Area under receiver operating characteristic curve ( AUROC ) were 0. 751 and 0. 757, 0. 794 and 0. 786 ] while gall - bladder wall thickness had important significance in diagnosing patients in ≥S3 stages ( AUROC were 0. 804 ). Conclusion SPL, SPT and gall-bladder wall thickness are valuable parameters for the diagnosis of hepatic fibrosis, and it is applicable to follow-up survey.关键词
肝硬化/超声检查/诊断分类
医药卫生引用本文复制引用
徐桂娟,杨晴,刘东屏,陈阳..超声量化指标对慢性肝炎肝纤维化的诊断价值研究[J].中国全科医学,2011,14(6):687-689,3.
