CAJ | 학술논문

目的：分析对照肝功能正常的慢性乙型肝炎患者的超声特点并与病理结果对照，用以评价其准确性，最终为该病的准确治疗提供支持。方法150例慢性乙型肝炎患者，在超声引导下行肝活检，对照分析其病理结果，反过来印证超声诊断的准确性。结果在所有入选的慢性乙型肝炎患者中轻度患者59例，中－重度患者71例，肝硬化患者20例。经过超声检查诊断，其中诊断正常12例，诊断阳性138例，敏感性为92%。其中轻度患者49例，中－重度患者61例，肝硬化28例。经过超声检查诊断正确130例患者，准确率达到87%。结论超声检查对慢性乙型肝炎患者正确率高，通过超声声像图能够较准确的评价患者的病情，在临床诊断中具有重要的应用价值。
목적：분석대조간공능정상적만성을형간염환자적초성특점병여병리결과대조，용이평개기준학성，최종위해병적준학치료제공지지。방법150례만성을형간염환자，재초성인도하행간활검，대조분석기병리결과，반과래인증초성진단적준학성。결과재소유입선적만성을형간염환자중경도환자59례，중－중도환자71례，간경화환자20례。경과초성검사진단，기중진단정상12례，진단양성138례，민감성위92%。기중경도환자49례，중－중도환자61례，간경화28례。경과초성검사진단정학130례환자，준학솔체도87%。결론초성검사대만성을형간염환자정학솔고，통과초성성상도능구교준학적평개환자적병정，재림상진단중구유중요적응용개치。
Objective To analyze and compare the ultrasonic characteristics and pathological results of chronic hepatitis B patients with normal liver function, so as to evaluate its accuracy and to provide support for accurate treatment of the disease. Methods There were 150 patients with chronic hepatitis B receiving liver biopsy under ultrasonic guidance. Their pathological results were analyzed for verifying the accuracy of ultrasonic diagnosis. Results Among all the chosen chronic hepatitis B patients, there were 59 mild cases, 71 moderate-severe cases, and 20 liver cirrhosis cases. After ultrasonic examination, there were 12 diagnosed normal cases and 138 diagnosed positive cases, with the sensitivity as 92%. There were 49 mild cases, 61 moderate-severe cases, and 28 liver cirrhosis cases. After ultrasonic examination, there were 130 correct cases, with the accuracy rate as 87%. Conclusion Ultrasonic examination has high accuracy for patients with chronic hepatitis B, and the ultrasonic images can precisely evaluate patients’condition. It has important value in clinical diagnosis.