Clinical significance of ultrasound semi-quantitative score in diagnosis of elderly patients with chronic hepatitis B and cirrhosis

LUO Jing; LIN Jun; DING Yunqing; HUANG Huaqing; LI Huanxing

doi:10.16245/j.cnki.issn1008-6978.2020.04.026

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Clinical significance of ultrasound semi-quantitative score in diagnosis of elderly patients with chronic hepatitis B and cirrhosis

更新时间：2021-10-08

- Clinical significance of ultrasound semi-quantitative score in diagnosis of elderly patients with chronic hepatitis B and cirrhosis
- Journal of Clinical Ultrasound in Medicine Vol. 22, Issue 4, Pages: 311-313(2020)
- 作者机构：
  
  成都市公共卫生临床医疗中心功能室
- 作者简介：
- 基金信息：
- DOI：10.16245/j.cnki.issn1008-6978.2020.04.026
  CLC： R512.62;R445.1;R575.2
- Published：2020，
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[1]罗静,林军,丁云清,黄华清,李焕兴.超声半定量评分诊断老年慢性乙型病毒性肝炎肝硬化的临床意义[J].临床超声医学杂志,2020,22(04):311-313.

LUO Jing, LIN Jun, DING Yunqing, et al. Clinical significance of ultrasound semi-quantitative score in diagnosis of elderly patients with chronic hepatitis B and cirrhosis. [J]. Journal of Clinical Ultrasound in Medicine 22(4):311-313(2020)
[1]罗静,林军,丁云清,黄华清,李焕兴.超声半定量评分诊断老年慢性乙型病毒性肝炎肝硬化的临床意义[J].临床超声医学杂志,2020,22(04):311-313. DOI： 10.16245/j.cnki.issn1008-6978.2020.04.026.

LUO Jing, LIN Jun, DING Yunqing, et al. Clinical significance of ultrasound semi-quantitative score in diagnosis of elderly patients with chronic hepatitis B and cirrhosis. [J]. Journal of Clinical Ultrasound in Medicine 22(4):311-313(2020) DOI： 10.16245/j.cnki.issn1008-6978.2020.04.026.

摘要

目的探讨超声半定量评分诊断老年慢性乙型病毒性肝炎（CHB）肝硬化的临床价值。方法选取84例老年CHB患者

根据其肝穿刺病理组织学结果分为肝硬化组49例和非肝硬化组35例

两组患者均行超声检查

比较两组肝表面被膜、肝脏实质回声、脾脏面积、肝脏边缘形态、肝静脉清晰度、肝内韧带及胆囊壁的超声半定量评分

以及门静脉内径、血流量、血流速度

分析超声半定量评分对老年CHB肝硬化的诊断价值。结果肝硬化组患者的肝表面被膜、肝脏实质回声、脾脏面积、肝脏边缘形态、肝静脉清晰度、肝内韧带及胆囊壁的超声半定量评分均明显高于非肝硬化组（均P<0.05）;肝硬化组患者门静脉内径、血流量及血流速度均大于非肝硬化组（均P<0.05）。超声半定量评分诊断老年CHB肝硬化的敏感性和特异性分别为95.92%和91.43%

准确率为94.04%。结论超声半定量评分诊断老年CHB肝硬化具有较高价值

值得临床推广应用。

Abstract

Objective To explore the clinical value of ultrasound semi-quantitative score in the diagnosis of elderly patients with chronic hepatitis B（CHB） and cirrhosis（HBC）.Methods Eighty-four cases of elderly patients with CHB were selected.According to the results of liver biopsy

the patients were divided into HBC group（n=49） and non HBC group（n=35）.Patients in two groups were examined by ultrasonography.The ultrasound semi-quantitative scores of surface capsule of liver

echo of liver parenchyma

area of spleen

shape of liver margin

clarity of hepatic vein

intrahepatic ligament and gallbladder wall were compared between the two groups.The portal vein diameter

portal blood flow

blood flow velocity were compared between the two groups.The diagnostic value of ultrasound semi-quantitative score in elderly patients with HBC was analyzed.Results The ultrasound semi-quantitative scores of surface capsule of liver

echo of liver parenchyma

area of spleen

shape of liver margin

clarity of hepatic vein

intrahepatic ligament and gallbladder wall in the HBC group were significantly higher than those in non HBC group（all P<0.05）.The portal blood flow

blood flow velocity and portal vein diameter in the HBC group were greater than those in non HBC group（all P<0.05）.The sensitivity

specificity and accuracy of ultrasound semi-quantitative score in the diagnosis of elderly HBC were 95.92 %

91.43 % and 94.04 %

respectively.Conclusion The ultrasound semi-quantitative score has a high diagnostic value in the diagnosis of elderly patients with HBC and is worthy of clinical application and generalization.

关键词

超声检查半定量评分乙型病毒性肝炎慢性肝硬化老年

Keywords

UltrasonographySemi-quantitative scoreHepatitis BchronicCirrhosisElderly

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