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轻度转氨酶升高的慢乙肝患者血清HBeAg及HBVDNA与肝组织病理改变的关系
引用本文:诸葛璐,林巍,潘陈为,方佩佩,周光耀,金玲湘. 轻度转氨酶升高的慢乙肝患者血清HBeAg及HBVDNA与肝组织病理改变的关系[J]. 中国现代医生, 2011, 49(8): 108-110
作者姓名:诸葛璐  林巍  潘陈为  方佩佩  周光耀  金玲湘
作者单位:温州医学院附属第二医院成人感染内科,浙江温州,325000
基金项目:浙江省温州市科技局资助项目
摘    要:目的探讨ALT正常值1~2倍慢性HBV感染患者肝组织病理特征,分析血清HBeAg、HBVDNA定量与肝组织病理关系。方法选取ALT正常值1~2倍慢性HBV感染者90例,行肝穿刺,比较HBeAg阳性、阴性组及不同HBVDNA定量患者肝组织炎症分级、纤维化分期。结果90例患者均存肝损,病理诊断肝硬化7例,83例病理诊断慢乙肝患者,G≥2者27例(32.53%),S≥2者25例(30.12%)。HBeAg阴性组病理炎症分级、纤维化分期均重于阳性组,不同HBVDNA定量组肝组织炎症分级、纤维化分期差异无统计学意义。结论ALT正常值1~2倍慢性HBV感染者,肝组织病理皆存异常,血清HBeAg、HBVDNA不能反映肝脏受损情况。

关 键 词:乙型肝炎病毒  乙型肝炎e抗原  HBV  DNA  肝组织病理

The Relationship between Serum HBeAg, HBV DNA and Liver Pathological Change in Chronic Hepatitis B Virus Carriers with Slight Unusual Liver Function
ZHUGE Lu,LIN Wei,PAN Chenwei,FANG Peipei,ZHOU Guangyao,JIN Lingxiang. The Relationship between Serum HBeAg, HBV DNA and Liver Pathological Change in Chronic Hepatitis B Virus Carriers with Slight Unusual Liver Function[J]. , 2011, 49(8): 108-110
Authors:ZHUGE Lu  LIN Wei  PAN Chenwei  FANG Peipei  ZHOU Guangyao  JIN Lingxiang
Affiliation:ZHUGE Lu LIN Wei PAN Chenwei FANG Peipei ZHOU Guangyao JIN Lingxiang Department of Infectious,the Second Affiliated Hospital of Wenzhou Medical College,Wenzhou 325000,China
Abstract:Objective To explore the relationship between serum HBeAg,the qualification of HBV DNA and the histopathologic change of livers in chronic hepatitis B virus carriers with slight unusual liver function.Methods Liver biopsy,serum and serological examination were performed in 90 randomly selected chronic hepatitis B virus carriers with slight unusual liver function.Groups were divided basedon serum HBeAg and HBV DNA levels.Comparisons of liver inflammation and fibrosis stages were conducted between groups.Resu...
Keywords:HBV DNA
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