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目的:探讨超声弹性成像对判定肝纤维化程度的价值。方法:抽取2013年12月-2014年12月于本院治疗的肝病患者62例设为观察组,对患者予以病理学检查以及超声弹性成像检查,10例影像学检查正常人作为对照组,评估超声弹性成像判定肝纤维化程度的准确性。结果:观察组中7例(9.7%)未出现肝纤维化,37例(51.4%)出现了肝纤维化,18例(25.0%)出现了肝硬化;肝动静脉渡越时间(HAVTT)1及HAVTT2的测量结果在无纤维化、肝纤维化以及肝硬化的组间比较,差异具有统计学意义(P<0.05),诊断准确性、敏感性以及特异性分别为85.5%、86.9%,83.7%、83.1%,75.7%、79.6%;患者不同的病理分期剪切波速度(SWV)值比较,差异具有统计学意义(P<0.05)。结论:超声弹性成像判定肝纤维化程度准确度高,为临床诊断提供重要的依据。
Objective: To investigate the value of ultrasonic elastography in determining the degree of liver fibrosis. Methods: Sixty-two patients with liver disease who were treated in our hospital from December 2013 to December 2014 were selected as the observation group, pathologically and elasto-elastography were performed on the patients and 10 normal controls were used as the control group Ultrasound elastography to determine the accuracy of liver fibrosis. Results: Liver fibrosis did not occur in 7 cases (9.7%) in the observation group, hepatic fibrosis in 37 cases (51.4%) and cirrhosis in 18 cases (25.0%). HAVTT 1 (P <0.05). The diagnostic accuracy, sensitivity and specificity were 85.5%, 86.9%, 83.7% respectively, and no significant differences were found between the two groups in the absence of fibrosis, liver fibrosis and cirrhosis %, 83.1%, 75.7% and 79.6%, respectively. There were significant differences in the values of different pathological stages of shear wave velocity (SWV) between the two groups (P <0.05). Conclusion: Ultrasound elastography to determine the degree of accuracy of liver fibrosis, providing an important basis for clinical diagnosis.