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目的探讨慢性病毒性肝炎病理分期与脾脏大小及脾静脉指标的关系。方法 234例慢肝患者根据肝穿结果肝纤维化程度分为S0～S4五期,按炎症分为G1～G4四期。比较慢肝不同病理分期之间脾脏指标的差异。结果 S分期之间脾脏大小及脾静脉内径差异有统计学意义,且随S分期增高而增大。G4与其它各分期之间脾脏大小、脾静脉内径差异有统计学意义,且高于其它各组。结论慢肝患者脾脏增大,脾静脉内径增宽随肝脏病理纤维化及炎症分期的增高而增大。
Objective To investigate the relationship between pathological staging of chronic viral hepatitis and spleen size and splenic vein index. Methods 234 patients with chronic liver disease were divided into five stages of S0 ~ S4 according to the degree of hepatic fibrosis. According to the inflammation, they were divided into four stages of G1 ~ G4. Comparison of different pathological staging of chronic liver spleen index differences. Results There was a significant difference in the size of spleen and the diameter of splenic vein between S staging, and increased with the increase of S staging. G4 and other stages of spleen size, spleen vein diameter difference was statistically significant, and higher than the other groups. Conclusions The spleen of patients with chronic liver enlargement and the widening of the diameter of splenic vein increase with the increase of hepatic pathological fibrosis and inflammation staging.