首页|超声半定量分析在乙型肝炎肝硬化诊断中的应用价值及影像学指标分析

超声半定量分析在乙型肝炎肝硬化诊断中的应用价值及影像学指标分析

The application value and imaging index analysis of semi-quantitative ultrasound analysis in the diagnosis of hepatitis B cirrhosis

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目的:分析超声半定量分析在乙型肝炎肝硬化诊断中的应用价值及影像学指标.方法:选择 2021 年 1 月—2023 年 12 月吉林省肝胆病医院乙型肝炎患者 117 例,进行超声半定量分析诊断肝硬化,以肝组织活检结果为"金标准",分析超声半定量分析在乙型肝炎肝硬化诊断中的应用价值,并比较肝硬化和非肝硬化的乙型肝炎患者相关影像学指标.结果:117 例乙型肝炎患者中,肝组织活检结果显示 43 例有肝硬化,74 例为非肝硬化,乙型肝炎肝硬化患者超声半定量参数及总分均高于非肝硬化的乙型肝炎患者,差异有统计学意义(P<0.05).以肝组织活检结果为"金标准",超声半定量诊断乙型肝炎肝硬化的灵敏度、特异度、准确率、阳性预测值和阴性预测值分别为 93.02%、97.30%、95.73%、95.24%和 96.00%.乙型肝炎肝硬化患者门静脉血流速度、血流量低于非肝硬化的乙型肝炎患者,差异有统计学意义(P<0.05).结论:超声半定量分析在乙型肝炎肝硬化诊断中具有较高的应用价值,其灵敏度、特异度、准确率以及预测值均表现出优异的结果,且相关影像学指标如门静脉血流速度、血流量也呈现出差异.
Objective To analyze the application value and imaging indicators of semi-quantitative ultrasound analysis in the diagnosis of hepatitis B cirrhosis.Methods A total of 117 patients with hepatitis B in Hepatobiliary Hospital of Jilin from January 2021 to December 2023 were selected for the diagnosis of cirrhosis by ultrasound semi-quantitative analysis.The application value of ultrasound semi-quantitative analysis in the diagnosis of hepatitis B cirrhosis was analyzed with the results of liver tissue biopsy as the"gold standard",and the relevant imaging indicators of hepatitis B patients with cirrhosis and those without cirrhosis were compared.Results Among 117 patients with hepatitis B,the results of liver biopsy showed that 43 cases had cirrhosis and 74 cases had no cirrhosis.The semi-quantitative parameters and total score of ultrasound in patients with hepatitis B cirrhosis were higher than those in patients without cirrhosis(P<0.05).The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value were 93.02%,97.30%,95.73%,95.24%and 96.00%respectively in the semi-quantitative diagnosis of hepatitis B cirrhosis.The portal blood flow velocity and blood flow in patients with hepatitis B cirrhosis were lower than those without cirrhosis(P<0.05).Conclusion Ultrasound semi-quantitative analysis has high application value in the diagnosis of hepatitis B cirrhosis.Its sensitivity,specificity,accuracy,and predictive value all show excellent results,and related imaging indicators such as portal vein blood flow velocity and blood flow also show differences.

Hepatitis B cirrhosisUltrasoundSemi-quantitativeImaging indicators

吴秀红

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吉林省肝胆病医院电诊室 吉林 长春 130000

乙型肝炎肝硬化 超声 半定量 影像学指标

2024

影像研究与医学应用

影像研究与医学应用

ISSN:
年,卷(期):2024.8(17)