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280例慢性乙肝B超表现与病理分级分期的对比研究
引用本文:林小田,冯筱榕,骆抗先,代琳. 280例慢性乙肝B超表现与病理分级分期的对比研究[J]. 海军医学杂志, 1999, 20(2): 109-111
作者姓名:林小田  冯筱榕  骆抗先  代琳
作者单位:1. 解放军第四二二医院传染科,湛江,524005
2. 广州第一军医大学南方医院传染科
摘    要:目的 :探讨B超在慢性肝炎分级分期中的作用。方法 :对 2 80例慢性乙肝患者B超表现与病理分级分期进行对比分析。结果 :肝右叶最大斜径、脾厚和胆囊炎症 (如胆囊壁毛糙、增厚和双边征 )改变与慢性乙肝肝组织炎症活动程度显著相关 (P <0 .0 5 ) ;而脾厚、肝内回声强度和血管走行与肝纤维化程度密切相关 (P <0 .0 5 )。结论 :B超表现对判断慢性肝炎病情的轻重有较大的价值。

关 键 词:B超  慢性乙型肝炎  病理  分级  分期

Comparison of B-mode Ultrasnographic Manifestations with Pathological Grading and Staging in 280 Patients with Chronic Hepatitis B
Lin Xiaotian,Feng Xiaorong,Luo Kangxian,et al No. Hospital of PLA,Zhanjiang. Comparison of B-mode Ultrasnographic Manifestations with Pathological Grading and Staging in 280 Patients with Chronic Hepatitis B[J]. Journal of Navy Medicine, 1999, 20(2): 109-111
Authors:Lin Xiaotian  Feng Xiaorong  Luo Kangxian  et al No. Hospital of PLA  Zhanjiang
Affiliation:Lin Xiaotian,Feng Xiaorong,Luo Kangxian,et al No. 422 Hospital of PLA,Zhanjiang 524005
Abstract:Objective: To evaluate the role of B mode ultrasonography in pathological grading and staging of chronic hepatitis B(CHB). Methods: B mode ultrasonographic manifestations and the pathological grading and staging were compared in 280 patients with CHB. Results: There was a positive correlation between the oblique diameter of right lobes of liver, thickness of spleen and inflammatory changes of gallbladder, and the grade of necroinflammatory activity of CHB (P<0.05). Furthermore, the thickness of spleen and imaging of blood vessels of liver were significantly associated with the degree of liver fibrosis of CHB (P<0.05). Conclusion: B mode ultrasonography is valuable in judging the severity of CHB.
Keywords:B mode ultrasonography  chronic hepatitis B  pathology  grading  staging
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