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用PCR检测了HBV标志不同状态102例,均经肝活检诊断,其中慢性迂延性肝炎(CPH)74例,慢性活动性肝炎(CAH)21例,肝组织正常7例。结果:HBsAg阳性率CAH为85.7%,显著高于CPH47.3%(P<0.01);抗-HBs阳性率CPH为18.9%,明显高于CAH4.7%。PCR血清HBVDNA总阳性率分别为CPH83.8%、CAH85.7%。在抗-HBe阳性的血清HBVDNA检出率CPH90.5%,CAH85.7%。抗-HBs阳性血清HBVDNA检出率CPH为44.4%,提示抗-HBe和抗-HBs阳性不仅不能代表HBV复制停止或已被消除,而且肝脏仍可处于炎症状态。
102 cases of different signs of HBV were detected by PCR, all of them were diagnosed by liver biopsy. Among them, 74 cases were chronic prolonged chronic hepatitis (CPH), 21 cases were chronic active hepatitis (CAH) and 7 cases were normal liver tissue. Results: The positive rate of HBsAg was 85.7% for CAH, which was significantly higher than that for CPH47.3% (P <0.01). The positive rate of anti-HBs was 18.9%, which was significantly higher than that of CAH4.7%. The total positive rate of PCR HBVDNA was 83.8% of CPH and 85.7% of CAH. Anti-HBe positive serum HBVDNA detection rate of CPH90.5%, CAH85.7%. Anti-HBs positive serum HBVDNA detection rate was 44.4% CPH, suggesting that anti-HBe and anti-HBs positive not only can not stop the replication of HBV or has been eliminated, and the liver can still be in an inflammatory state.