中华肝脏病杂志
中華肝髒病雜誌
중화간장병잡지
CHINESE JOURNAL OF HEPATOLOGY
2014年
10期
731-734
,共4页
郑剑%杨丽新%吴涛%曾捷%黄泽萍%郑博文%张红君%郑荣琴
鄭劍%楊麗新%吳濤%曾捷%黃澤萍%鄭博文%張紅君%鄭榮琴
정검%양려신%오도%증첩%황택평%정박문%장홍군%정영금
肝疾病%肝硬化%弹性成像技术
肝疾病%肝硬化%彈性成像技術
간질병%간경화%탄성성상기술
Liver disease%Liver cirrhosis%Elasticity imaging techniques
目的 对比分析瞬时弹性成像和实时组织弹性成像评估慢性肝病肝纤维化的价值.方法 对92例行肝组织学检查的慢性肝病患者同时行瞬时弹性成像和实时组织弹性成像检查,以肝组织病理学检查结果为金标准,比较瞬时弹性成像和实时组织弹性成像与肝纤维化病理分期的相关系数、诊断肝纤维化的受试者工作特征曲线下面积. 结果 瞬时弹性成像与肝纤维化病理分期的相关系数(r=0.755,95% CI0.651 ~ 0.831,P=0.000)高于实时组织弹性成像(r=0.481,95%CI0.306 ~ 0.624,P=0.000),Z=3.07,P=0.002.瞬时弹性成像和实时组织弹性成像诊断肝纤维化(S≥2)、肝硬化(S=4)的受试者工作特征曲线下面积分别为0.903和0.740、0.915和0.786,瞬时弹性成像高于实时组织弹性成像(P值分别为0.003和0.020). 结论 瞬时弹性成像诊断慢性肝病肝纤维化效能优于实时组织弹性成像,但后者与二维超声图像融合,具有广泛的应用前景.
目的 對比分析瞬時彈性成像和實時組織彈性成像評估慢性肝病肝纖維化的價值.方法 對92例行肝組織學檢查的慢性肝病患者同時行瞬時彈性成像和實時組織彈性成像檢查,以肝組織病理學檢查結果為金標準,比較瞬時彈性成像和實時組織彈性成像與肝纖維化病理分期的相關繫數、診斷肝纖維化的受試者工作特徵麯線下麵積. 結果 瞬時彈性成像與肝纖維化病理分期的相關繫數(r=0.755,95% CI0.651 ~ 0.831,P=0.000)高于實時組織彈性成像(r=0.481,95%CI0.306 ~ 0.624,P=0.000),Z=3.07,P=0.002.瞬時彈性成像和實時組織彈性成像診斷肝纖維化(S≥2)、肝硬化(S=4)的受試者工作特徵麯線下麵積分彆為0.903和0.740、0.915和0.786,瞬時彈性成像高于實時組織彈性成像(P值分彆為0.003和0.020). 結論 瞬時彈性成像診斷慢性肝病肝纖維化效能優于實時組織彈性成像,但後者與二維超聲圖像融閤,具有廣汎的應用前景.
목적 대비분석순시탄성성상화실시조직탄성성상평고만성간병간섬유화적개치.방법 대92례행간조직학검사적만성간병환자동시행순시탄성성상화실시조직탄성성상검사,이간조직병이학검사결과위금표준,비교순시탄성성상화실시조직탄성성상여간섬유화병리분기적상관계수、진단간섬유화적수시자공작특정곡선하면적. 결과 순시탄성성상여간섬유화병리분기적상관계수(r=0.755,95% CI0.651 ~ 0.831,P=0.000)고우실시조직탄성성상(r=0.481,95%CI0.306 ~ 0.624,P=0.000),Z=3.07,P=0.002.순시탄성성상화실시조직탄성성상진단간섬유화(S≥2)、간경화(S=4)적수시자공작특정곡선하면적분별위0.903화0.740、0.915화0.786,순시탄성성상고우실시조직탄성성상(P치분별위0.003화0.020). 결론 순시탄성성상진단만성간병간섬유화효능우우실시조직탄성성상,단후자여이유초성도상융합,구유엄범적응용전경.
Objective To compare the abilities of transient elastography (TE) versus real-time tissue elastography (RTE) for assessing liver fibrosis in patients with chronic liver disease.Methods Ninetytwo patients with chronic liver disease were enrolled in the study,and included 77 cases of chronic hepatitis B,4 cases of chronic hepatitis C,4 cases of autoimmune liver disease,2 cases of primary biliary cirrhosis,Ⅰ case of abnormal bile duct development,and 4 cases of unknown etiology.All patients were assessed by both TE and RTE in a single day.The correlation coefficient of liver fibrosis level and the receiver operating characteristic (ROC) curve of S > 2 and =4 of TE and RTE were determined.The values were compared using findings fiom pathological analysis as reference.Results The correlation coefficient of liver fibrosis level was significantly higher for TE (r =0.755,95% CI:0.651-0.831,P =0.000) than for RTE (r=0.481,95% CI:0.306-0.624,P =0.000) (Z=3.07,P =0.002).The areas under the ROC curves for S > 2 and =4 were 0.903 and 0.740 for TE and 0.915 and 0.786 for RTE,respectively,indicating that the performance of TE was superior to that of RTE.Conclusion TE was superior to RTE for assessment of liver fibrosis.