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慢性乙型肝炎患者肝组织内HBcAg表达的临床研究
引用本文:蔡群,张亚飞,李鸿宾,张振华,李旭.慢性乙型肝炎患者肝组织内HBcAg表达的临床研究[J].安徽医学,2016,37(12):1477-1479.
作者姓名:蔡群  张亚飞  李鸿宾  张振华  李旭
作者单位:230022 合肥 安徽医科大学第一附属医院感染病科,230022 合肥 安徽医科大学第一附属医院感染病科,230022 合肥 安徽医科大学第一附属医院感染病科,230022 合肥 安徽医科大学第一附属医院感染病科,230022 合肥 安徽医科大学第一附属医院感染病科
基金项目:国家自然科学基金项目(项目编号:81273142)
摘    要:目的 探讨慢性乙型肝炎(CHB)患者肝组织内HBcAg的表达与肝组织的炎症、纤维化程度、血清中的HBV DNA、HBsAg以及HBeAg定量之间的关系。方法 选择安徽医科大学第一附属医院2013年3月至2014年3月收治的103例CHB患者,按病理学结果分为S1组(36例)和S2~3组(67例)。利用免疫组化技术检测肝细胞内HBcAg的表达,同时利用FirbScan仪器测定患者的肝纤维化程度。结果 在S2~3组中,肝组织HBcAg的表达与血清HBV DNA、HBsAg、HBeAg水平及肝纤维化指标均呈现显著的相关性(P<0.05),在S1组中均无显著相关(P>0.05)。结论 HBcAg在肝细胞中的表达与机体血清中DNA、HBsAg、HBeAg水平及无创肝纤维化程度存在一定的相关性。

关 键 词:慢性乙型病毒性肝炎  乙肝病毒核心抗原  纤维化  免疫组织化学
收稿时间:2015/12/30 0:00:00

Expressionand clinical study of intrahepatic hepatitis B core antigen in patients with chronic hepatitis B
CAI Qun,ZHANG Yafei,LI Hongbin.Expressionand clinical study of intrahepatic hepatitis B core antigen in patients with chronic hepatitis B[J].Anhui Medical Journal,2016,37(12):1477-1479.
Authors:CAI Qun  ZHANG Yafei  LI Hongbin
Institution:Department of Infectious Diseases, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China,Department of Infectious Diseases, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China,Department of Infectious Diseases, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China,Department of Infectious Diseases, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China and Department of Infectious Diseases, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
Abstract:Objective Todiscussthe association of the expression of intrahepatic hepatitis Bcoreantigen (HBcAg)with HBV DNA, HBsAg, HBeAg in serum and histological characteristics.Methods The expression of HBcAg was detected by immunohistochemistry in theliver and the evaluation of the degree of liver fibrosis in patients by Fibroscanwithnon-invasive measurement.Results The expression of HBcAg in liver tissue was significantly correlated with the level of serum HBV DNA, HBsAg, HBeAg, and Fibroscan in S2~3 group(P<0.05), butthere was no significant correlationin S1 group (P>0.05).Conclusion There is certain relevance with the expression of HBcAg in liver cells and the serum levels of HBV DNA, HBsAg, HBeAg and the fibrosis of liver.
Keywords:Chronic hepatitisB  Hepatitis B core antigen  Fibrosis  Immunohistochemistry
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