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.