首页|肝脏瞬时弹性成像联合血清学检测诊断肝纤维化的临床价值

肝脏瞬时弹性成像联合血清学检测诊断肝纤维化的临床价值

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目的:探讨肝脏瞬时弹性成像(TE)检测联合血清学在肝纤维化诊断中的临床价值.方法:选取2022年4月—2023年4月我院收治的52例慢性乙型肝炎(CHB)伴肝纤维化患者及52例单纯CHB患者为观察组及对照组.均行肝脏TE、血清学检测,比较2组肝脏硬度、谷草转氨酶、凝血酶原时间、血小板计数、层黏连蛋白、透明质酸、Ⅲ型前胶原、Ⅳ型胶原水平差异;并绘制ROC曲线分析LSM及血清学指标诊断肝纤维化的临床价值.结果:观察组肝脏硬度、谷草转氨酶、层黏连蛋白、透明质酸、Ⅲ型前胶原、Ⅳ型胶原水平高于对照组,血小板计数水平低于对照组,凝血酶原时间长于对照组,差异有统计学意义(P<0.05);绘制ROC曲线显示,各指标联合检测诊断肝纤维化的曲线下面积为:0.841、0.741、0.737、0.690、0.800、0.814、0.816、0.836、0.977,联合检测价值最高.结论:肝脏TE联合血清学检测可提高肝纤维化诊断价值,利于早期发现纤维化病变,实现针对性治疗,以阻止肝脏损伤.
Clinical Value of Transient Elastography Combined with Serology in the Diagnosis of Liver Fibrosis
Objective:To investigate the clinical value of transient elastography(TE)combined with serology in the diagnosis of liver fibrosis.Methods:From April 2022 to April 2023,52 patients with CHB complicated with liver fibrosis and 52 patients with chronic hepatitis B(CHB)in our hospital were selected as the observation group and the control group.Liver TE and serological tests were performed.Liver hardness,aspartate aminotransferase,prothrombin time,platelet count,laminin,hyaluronic acid,type Ⅲ pro-collagen and type Ⅳ collagen levels were compared between the two groups.ROC curve was drawn to analyze the clinical value of LSM and serological indexes in the diagnosis of liver fibrosis.Results:Liver hardness,aspartate aminotransferase,platelet count,laminin,hyaluronic acid,type Ⅲ procollagen and type Ⅳ collagen levels in observation group were higher than those in control group,and pro-thrombin time was longer than that in control group,the difference was statistically significant(P<0.05).ROC curve showed that the area under the curve of combined detection of each index for the diagnosis of liver fibrosis was 0.841,0.741,0.737,0.690,0.800,0.814,0.816,0.836,0.977,and the value of combined detection was the highest.Conclusion:Liver TE combined with serological detection can improve the diagnostic value of liver fibrosis,facilitate the early detection of fibrosis lesions,and achieve targeted treatment to prevent liver damage.

Liver fibrosisTransient elastography of liverSerologyDiagnostic value

刘燕秀、郭家瑶、朱晨

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江西省吉安市中心人民医院(江西吉安 343000)

肝纤维化 肝脏瞬时弹性成像 血清学 诊断价值

吉安市指导性科技计划项目

20233-043714

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(5)
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