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目的探讨超声在慢性乙肝病毒(HBV)携带者病情进展中的临床应用价值。方法对230例慢性HBV携带患者的超声检查及肝穿刺病理结果进行回顾性分析,研究肝脏大小及形态、肝脏回声、胆囊壁厚度、脾厚度及长径、门静脉主干内径、脾静脉主干内径等超声特征性表现。结果慢性HBV携带患者230例中,超声检出:肝脏回声异常156例(检出率67.8%),胆囊壁异常150例(检出率65.2%),脾脏肿大20例(检出率8.7%);病理检出:S0～S1,169例(占73.5%);S2～S4,61例(占26.5%);G0～G1,156例(占67.8%);G2～G4,74例(占32.2%)。结论超声检查对慢性HBV携带患者病情进展具有重要价值,是临床病情评估的重要手段之一。
Objective To investigate the clinical value of ultrasound in the progression of chronic hepatitis B virus (HBV) carriers. Methods Ultrasound examination and pathological findings of liver biopsy in 230 cases of chronic HBV carriers were retrospectively analyzed. The liver size and morphology, liver echoes, gallbladder wall thickness, splenic thickness and long diameter, main portal vein diameter and main splenic vein diameter Characteristic performance. Results Of 230 patients with chronic HBV carriers, ultrasonography was detected in 156 cases (67.8%), abnormal gallbladder wall (65.2%) and spleen enlargement (detection rate was 8.7% ); Pathological detection: S0 ~ S1,169 cases (73.5%); S2 ~ S4,61 cases (26.5%); G0 ~ G1,156 cases (67.8%); G2 ~ G4,74 cases 32.2%). Conclusion Ultrasonography is of great value to the progress of patients with chronic HBV infection and is one of the important means to assess the clinical condition.