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莱芜地区HBV基因型分布及临床意义
引用本文:彭琳,李菊,董学广.莱芜地区HBV基因型分布及临床意义[J].泰山医学院学报,2011,32(1):49-51.
作者姓名:彭琳  李菊  董学广
作者单位:1. 莱芜市人民医院检验科,山东,莱芜,271100
2. 莱芜市口镇中心医院检验科,山东,莱芜,271112
摘    要:目的了解莱芜地区乙型肝炎病毒(hepatitis B virus,HBV)基因型分布情况,探讨HBV基因型与临床的相关性。方法随机选择莱芜地区HBV感染患者231例,其中无症状HBV携带者45例,慢性乙型肝炎68例,乙型肝炎肝硬化65例,原发性肝癌53例。应用双波长实时荧光定量PCR技术,进行血清HBV基因分型测定。结果 231例标本中,216例(91.14%)可检出基因型,在阳性结果中B基因型39例(18.06%),C基因型179例(82.87%),B+C混合基因型5例(2.31%),未检出非B非C基因型。结论莱芜地区HBV感染者中,HBV基因主要存在C型,不同基因型与慢性乙型肝炎、肝硬化、原发性肝癌有相关性,C基因型HBV感染者较B基因型更易发展成肝硬化、原发性肝癌。

关 键 词:肝炎病毒  乙型  基因型  分布

Distribution of hepatitis B virus genetypes in Laiwu area and its clinical relationship
PENG Lin,LI Ju,DONG Xue-guang.Distribution of hepatitis B virus genetypes in Laiwu area and its clinical relationship[J].Journal of Taishan Medical College,2011,32(1):49-51.
Authors:PENG Lin  LI Ju  DONG Xue-guang
Institution:PENG Lin LI Ju DONG Xue-guang(Dept.of Clinical Laboratory,Laiwu People’s Hospital,Laiwu 271100,China)
Abstract:Objective: To investigate the distribution of hepatitis B virus(HBV) genotypes in Laiwu area and explore its clinical relationship.Methods: HBV infections were randomly selected in Laiwu,of which 45 cases were asymptomatic HBV carriers,68 cases of chronic hepatitis B,65 cases of liver cirrhosis and 53 cases of primary liver cancer.Real-time PCR technology was used for determination of serum HBV genotyping.Results: 216 cases were detected for HBV genotype,of which B genotype was in 69 cases(18.06%),C genotype 136 cases(82.87%),and B+C mixed genotype 5 patients(2.31%).Conclusion: Genotype C is the most prevalent in all patient categories in this area.The results indicate that genotype C is associated with the development of severe liver disease.
Keywords:hepatitis B virus  genotype  distribution
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