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超声弹性成像和造影在慢性乙型肝炎肝纤维化评估中的效果对比

吴汤娜 符少清 刘秉彦 王东林

实用医学杂志2017,Vol.33Issue(23):3983-3986,4.
实用医学杂志2017,Vol.33Issue(23):3983-3986,4.DOI:10.3969/j.issn.1006-5725.2017.23.034

超声弹性成像和造影在慢性乙型肝炎肝纤维化评估中的效果对比

Effect of Ultrasound Elastic Imaging and Contrast-enhanced ultrasound in the Evaluation of Hepatic Fibro-sis in Patients with Chronic Hepatitis B

吴汤娜 1符少清 1刘秉彦 1王东林1

作者信息

  • 1. 570311 海口市,海南省人民医院超声科
  • 折叠

摘要

Abstract

Objective To evaluate the effect of ultrasound elastography and radiography in the assessment of hepatic fibrosis in chronic hepatitis B patients. Methods Seventy patients with chronic hepatitis B were en-rolled in our hospital from August 2014 to August 2016. Liver ultrasonography was performed in all patients. HAVTT1 and HAVTT2 were measured by visual method. SWV was measured by ultrasonic elasticity imaging. Re-sults With the increase of liver fibrosis,SWV test also increased,while HAVTT gradually shortened.The correct rates of HAVTT1 and HAVTT2 and SWV in the diagnosis of liver fibrosis were 72.36%,76.84% and 89.78%.The diagnostic accuracy of SWV was higher than that of HAVTT1 and HAVTT2,the difference was statistically sig-nificant(P<0.05).Conclusion Acoustic contrast measurement of HAVTT1 and HAVTT2 can reflect the chang-es of liver microcirculation,which is helpful to distinguish liver cirrhosis,fibrosis and no fibrosis. The measure-ment of SWV can reflect the difference of texture hardness of liver,which can be used as a kind of judgment on the degree and effect of hepatic fibrosis new method.

关键词

超声弹性成像检查/超声造影/慢性乙型肝炎/肝纤维化评估

Key words

ultrasonic elastography examination/contrast-enhanced ultrasound/chronic hepatitis B/evaluation of liver fibrosis

引用本文复制引用

吴汤娜,符少清,刘秉彦,王东林..超声弹性成像和造影在慢性乙型肝炎肝纤维化评估中的效果对比[J].实用医学杂志,2017,33(23):3983-3986,4.

基金项目

2016年海南省卫生计生行业科研项目(编号:1601320114A2008) (编号:1601320114A2008)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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