| 孙云凤 洪金玲 张光晨 张彧 郑敏.实时超声弹性成像对慢性乙肝并肝纤维化程度的诊断价值分析[J].现代生物医学进展英文版,2015,15(32):6352-6354. |
| 实时超声弹性成像对慢性乙肝并肝纤维化程度的诊断价值分析 |
| Analysis of the Clinical Diagnostic Value of Real-time UltrasoundElastography for Chronic Hepatitis B combined with Liver Fibrosis |
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| DOI： |
| 中文关键词: 实时超声弹性成像 病理活检 慢性乙肝 肝纤维化 |
| 英文关键词: Real-time ultrasound elasticity imaging Pathologic biopsy Chronic hepatitis B Liver fibrosis |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨实时超声弹性成像(real-time tissue elastograph，RTE)对慢性乙肝并肝纤维化的临床诊断价值。方法：选择慢性乙肝
并肝纤维化患者100 例，对患者进行RTE 检查及肝病理穿刺检查，将RTE 评分结果与病理结果进行对比分析。结果：随着肝脏纤
维化S 分期的不断增加，RTE 评分结果亦逐渐升高，RTE 评分结果与肝纤维化病理分期呈显著正相关(r=0.665，P＜0.01)。实时超
声弹性成像诊断乙肝并肝纤维化的的敏感度为92，31%、特异度为86.36%、准确率为91%、阳性预测值为96.00%、阴性预测值为
76.00%。结论：RTE 作为一项无创检查技术，对慢性乙肝并肝纤维化具有较高的临床诊断价值。 |
| 英文摘要: |
| Objective:To investigate the real-time ultrasound elastography (Realtime tissue elastograph, RTE) on the value of
clinical diagnosis of chronic hepatitis B combined with liver fibrosis.Methods:100 cases of chronic hepatitis B patients with hepatic
fibrosis were selected in clinical, on the RTE and liver biopsy examination, contrast and analyze the RTE score and pathological result.Results:With the increase of S staging of patients with chronic hepatitis B combined with liver fibrosis, RTE score results also gradually
rised, the RTE score results and pathological staging of liver fibrosis was significantly positively related(r=0.665, P<0.01). The sensitivity,
specificity, accuracy rate, positive predictive value and negative predictive value of, Real-time ultrasound elastography in the diagnosis of
chronic hepatitis B combined with liver fibrosis were 92.31%, 91%, 96%, 96% and 76.00% respectively.Conclusion:Real-time
ultrasound elasticity imaging as a non-invasive examination technology, has a higher value in clinical diagnosis of chronic hepatitis B
combined with liver fibrosis. |
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