岭南急诊医学杂志
嶺南急診醫學雜誌
령남급진의학잡지
LINGNAN JOURNAL OF EMERGENCY MEDICINE
2014年
3期
181-183
,共3页
慢性乙型肝炎%肝纤维化%抗病毒治疗
慢性乙型肝炎%肝纖維化%抗病毒治療
만성을형간염%간섬유화%항병독치료
chronic Hepatitis B%liver fibrosis,antiviral agents
目的:探讨采取瞬时弹性成像技术(TE)评估长期口服抗病毒药物对慢性乙型肝炎患者的肝脏硬度(LSM)变化及临床价值。方法:采用前瞻性研究方法,分析2010年1月-2012年12月收治的口服抗病毒药物治疗的慢性乙型肝炎患者60例的临床资料。结果:60例慢性乙型肝炎患者的平均治疗时间间隔为(325.6±124.1)d,治疗后的 LSM 显著低于治疗前[(10.3±6.1) kPa vs(17.2±11.5)kPa, P<0.001],治疗后 LSM 改善的患者有32例(53.3%)。结论:长期口服抗病毒药物可有效改善慢性乙型肝炎患者的肝纤维化,TE是评估慢性乙型肝炎患者疾病进展的有用临床工具之一。
目的:探討採取瞬時彈性成像技術(TE)評估長期口服抗病毒藥物對慢性乙型肝炎患者的肝髒硬度(LSM)變化及臨床價值。方法:採用前瞻性研究方法,分析2010年1月-2012年12月收治的口服抗病毒藥物治療的慢性乙型肝炎患者60例的臨床資料。結果:60例慢性乙型肝炎患者的平均治療時間間隔為(325.6±124.1)d,治療後的 LSM 顯著低于治療前[(10.3±6.1) kPa vs(17.2±11.5)kPa, P<0.001],治療後 LSM 改善的患者有32例(53.3%)。結論:長期口服抗病毒藥物可有效改善慢性乙型肝炎患者的肝纖維化,TE是評估慢性乙型肝炎患者疾病進展的有用臨床工具之一。
목적:탐토채취순시탄성성상기술(TE)평고장기구복항병독약물대만성을형간염환자적간장경도(LSM)변화급림상개치。방법:채용전첨성연구방법,분석2010년1월-2012년12월수치적구복항병독약물치료적만성을형간염환자60례적림상자료。결과:60례만성을형간염환자적평균치료시간간격위(325.6±124.1)d,치료후적 LSM 현저저우치료전[(10.3±6.1) kPa vs(17.2±11.5)kPa, P<0.001],치료후 LSM 개선적환자유32례(53.3%)。결론:장기구복항병독약물가유효개선만성을형간염환자적간섬유화,TE시평고만성을형간염환자질병진전적유용림상공구지일。
To explore the liver stiffness measurement (LSM) change and clinical value of patients with chronic hepatitis B treated by long-term oral antiviral drug assessed by taking transient elastography technique (TE). Methods: The clinical data of 60 patients with chronic hepatitis B treated by long-term oral antiviral drug were studied and analyzed prospectively from Jan 2010 to Dec 2012. Results: Among the 60 cases, the average treatment time interval was (325.6± 124.1) days, the LSM after the treatment was significantly lower than that in before the treatment [(10.3±6.1) kPa vs (17.2±11.5)kPa, P<0.001], and the LSM in 32 cases (53.3%) were improved after the treatment. Conclusion: The treatment of long-term oral antiviral can improve effectively liver fibrosis of chronic hepatitis B,TE is one of a useful clinical tool to assess progression of patients with chronic hepatitis B.