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肝活检对HBV携带者的诊断意义

凌琪华 陈建杰 陈逸云 樊丽萍 朱晖

实用肝脏病杂志2011,Vol.14Issue(1):18-20,3.
实用肝脏病杂志2011,Vol.14Issue(1):18-20,3.DOI:10.3969/j.issn.1672-5069.2011.01.006

肝活检对HBV携带者的诊断意义

The histopathological manifestations in individuals with hepatitis B viral carriers

凌琪华 1陈建杰 1陈逸云 1樊丽萍 1朱晖1

作者信息

  • 1. 200021,上海市,上海中医药大学附属曙光医院
  • 折叠

摘要

Abstract

Objective The aim of this study was to investigate the clinic significance of liver biopsy in asymptomatic chronic hepatitis B virus carriers. Methods 134 individuals with chronic hepatitis B viral carriers received the liver biopsy. Results Liver biopsies showed hepatic necrosis inflammation and fibrosis in 1.49%(2/ 134)without any change; Among 105 patients who met the HBV DNA≥ 105copies/ml(or in HBeAg negative patients was ≥ 104copies/ml),there were 80 cases whose liver inflammation ≥G2; Between 100 patients with HBeAg (+)and 34 patients with HBeAg (-),there was no significantly statistical difference in their liver inflammation and fibrosis (P=0.308);the hepatic necrosis inflammation and fibrosis between group with HBV DNA<107copies/ml and those with HBV DNA≥l07copies/ml were statistically different(P=0.007,P=0.001). Conclusions The liver biopsy should be done in chronic hepatitis B carriers in time.

关键词

慢性乙型肝炎/肝活检/病理学

引用本文复制引用

凌琪华,陈建杰,陈逸云,樊丽萍,朱晖..肝活检对HBV携带者的诊断意义[J].实用肝脏病杂志,2011,14(1):18-20,3.

基金项目

上海市市级医院新兴前沿技术联合攻关项目(项目批准号SHDC12006109) (项目批准号SHDC12006109)

实用肝脏病杂志

OACSTPCD

1672-5069

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