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目的了解脾脏厚度与肝组织纤维化程度的关系。方法166例慢性病毒性肝炎住院患者在B超引导下行肝活检,肝组织按肝纤维化分级标准划分为S0~S4。B超测量患者脾脏厚度。结果S0~S4组脾脏厚度分别是:(32±7)mm、(33±4)mm、(36±6)mm、(42±14)mm、(47±12)mm。自S3到S4期脾脏明显逐渐增厚。结论脾脏厚度对慢性病毒性肝炎患者肝组织纤维化程度有一定的诊断价值。
Objective To understand the relationship between the spleen thickness and the degree of liver fibrosis. Methods A total of 166 hospitalized patients with chronic viral hepatitis underwent liver biopsy under ultrasound guidance. The liver tissues were divided into S0 ~ S4 according to the grade of liver fibrosis. B-measure the patient’s spleen thickness. Results The spleen thickness in S0 ~ S4 group were (32 ± 7) mm, (33 ± 4) mm, (36 ± 6) mm, (42 ± 14) mm and (47 ± 12) mm, respectively. From S3 to S4 spleen was gradually thickening. Conclusion The thickness of spleen has certain diagnostic value on the degree of liver fibrosis in patients with chronic viral hepatitis.