摘要: |
目的 探讨彩超半定量评分(CDUSQS)诊断老年 慢性乙型病毒性肝炎(CHB)肝硬化(HBC)的临床价值。方法 选取2016年1月-2018年1月在我院确诊为CHB 且通过纳入标准的84例老年患者为研究对象,根据肝穿刺病理组织学检结果分为HBC组49例,非HBC组35例。对两组患者行彩超检查,比较两组患者肝表面被膜、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CDUSQS,比较两组患者门静脉血流量、血流速度及门静脉内径 ,并分析CDUSQS对老年HBC的诊断价值,绘制ROC曲线。结果 HBC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CDUSQS均明显高于非HBC组(P<0.05);HBC组患者门静脉血流量、血流速度及门静脉内径均大于非HBC组(P<0.05);CDUSQS诊断老年HBC的敏感度和特异度均高于91%。结论 CDUSQS应用于老年HBC诊断具有较高诊断价值。 |
关键词: 慢性乙型病毒性肝炎 肝硬化 老年 彩色多普勒超声半定量评分 临床意义 |
DOI: |
投稿时间:2019-06-25修订日期:2019-07-22 |
基金项目: |
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Clinical significance of color Doppler ultrasonography in the diagnosis of elderly patients with chronic viral hepatitis B and cirrhosis |
LUO Jing |
(Function room public health clinical medical center#$NBSof Chengdu) |
Abstract: |
Objective To explore the clinical value of color Doppler Ultrasound Semi-quantitative Score (CDUSQS) in the diagnosis of elderly patients with chronic hepatitis B (CHB) and cirrhosis (HBC). Methods 84 cases of elderly patients with CHB diagnosed in our hospital from January 2016 to January 2018 were selected as the subjects by incorporating criteria,according to the results of liver biopsy, 49 cases were divided into HBC group and 35 cases of non HBC group.Two groups of patients were examined by color Doppler ultrasonography,the CDUSQS 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 blood flow, blood flow velocity and portal vein diameter were compared between the two groups,the diagnostic value of CDUSQS for elderly HBC were also analyzed and ROC curve was drawn. Results The CDUSQS 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 of non HBC group (P<0.05).The portal blood flow, blood flow velocity and portal vein diameter in the HBC group were greater than non HBC group (P<0.05).The sensitivity and specificity of CDUSQS in the diagnosis of elderly HBC were higher than 91%. Conclusion The application of CDUSQS in the diagnosis of HBC in the elderly has high diagnostic value. |
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