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目的探讨彩色多普勒超声联合生化学检查及病理学检查对慢性乙型肝炎(乙肝)的诊断价值,为临床正确诊治提供依据。方法 112例慢性乙型肝炎患者均行腹部超声检查、生化指标检查及病理检查。结果 112例患者中超声诊断慢性乙型肝炎轻度52例,中重度37例,肝硬化23例。组织病理学诊断,轻度慢性肝炎70例,中重度慢性肝炎24例,肝硬化18例。不同程度慢性乙型肝炎患者的生化指标凝血酶原时间(PT)、总胆红素(TBIL)、白蛋白(ALB)、及丙氨酸转氨酶(ALT)检查结果比较,差异有统计学意义(P<0.05)。结论彩色多普勒超声联合生化学检查及病理学检查对慢性乙型肝炎的正确诊断有重要价值。
Objective To investigate the diagnostic value of color Doppler ultrasonography combined with biochemical and pathological examination in patients with chronic hepatitis B (hepatitis B) and provide evidence for the correct diagnosis and treatment. Methods 112 patients with chronic hepatitis B underwent abdominal ultrasound examination, biochemical markers and pathological examination. Results Of the 112 patients, 52 cases were diagnosed as mild hepatitis B by chronic ultrasound, 37 cases were moderate or severe, and 23 cases were liver cirrhosis. Histopathological diagnosis, mild chronic hepatitis in 70 cases, 24 cases of moderate to severe chronic hepatitis, liver cirrhosis in 18 cases. There were significant differences in the biochemical indexes of PT, TBIL, ALB and ALT among patients with different degrees of chronic hepatitis B P <0.05). Conclusion Color Doppler ultrasound combined with biochemical and pathological examination of the correct diagnosis of chronic hepatitis B has important value.