摘要
目的：探讨超声二维量化指标及肝静脉波形分型在慢性乙型肝炎（乙肝）肝纤维化程度评估中的应用价值。方法：选取慢性乙肝患者106例,联合应用二维超声和多普勒超声观察患者的肝脏形态、实质、回声和血流动力学,记录肝包膜、肝实质、肝内静脉壁等各量化指标及肝静脉频谱波形,并与肝脏病理学诊断对照分析。结果：随着纤维化程度的逐渐增加,慢性乙肝患者肝超声综合评分均逐渐增加,且各组间差异均有统计学意义（P〈0.01）。S0、S1和S2期患者中HV1型＋HV2型波所占比例均低于S4期患者（P〈0.05~P〈0.01）。结论：超声二维量化指标及肝静脉波形分型对评估慢性乙肝肝纤维化程度有很好的指导意义,值得推广与使用。
Objective： To investigate the application value of two-dimensional ultrasound quantification indexes combined with hepatic vein waveform classification in the evaluation of liver fibrosis degree of patients with chronic hepatitis B. Methods： The hepatic morphology,essence,echo and blood flow dynamics in 106 patients with chronic hepatitis B were observed using two-dimensional ultrasound and Doppler ultrasound. The liver capsula and papernchyma,hepatic vein wall and hepatic vein spectrum waveform were recorded,which were compared with the diagnosis of liver pathology. Results： With the increasing of fibrosis degree,the comprehensive scores of liver ultrasonography increased,and the difference of which in each group was statistically significant（ P〈0. 01）. The proportions of HV1 and HV2 type wave in phase S_0,S_1 and S_2 patients were lower than those in S4 phase patients（ P〈0. 05 to P〈0. 01）. Conclusions： Two dimensional ultrasound quantification indexes and hepatic vein waveform classification in evaluating the liver fibrosis degree of patients with chronic hepatitis B has good guidance significance,which is worthy of promotion and use.
出处
《蚌埠医学院学报》
CAS
2016年第6期791-792,796,共3页
Journal of Bengbu Medical College
基金
中山市卫生局科研项目(2014A020025)
关键词
肝硬变
超声量化指标
肝静脉波形
cirrhosis
ultrasonic quantitative index quantification
hepatic vein waveform
