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目的探讨B型超声显像(B超)在慢性肝炎分级分期中的作用。方法对280例慢性乙型肝炎患者B超表现与病理分级分期进行对比分析。结果显示肝右叶最大斜径、脾厚和胆囊炎症(如胆囊壁毛糙、增厚和双边征)改变与慢性乙型肝炎肝组织炎症活动程度显著相关(P<0.05),而脾厚、肝内回声强度和血管走行与肝纤维化程度密切相关(P<0.05)。结论B超表现对判断慢性肝炎病情的轻重有较大的价值。
Objective To investigate the role of B-mode ultrasonography in the classification of chronic hepatitis. Methods 280 patients with chronic hepatitis B ultrasound performance and pathological grading staging comparative analysis. The results showed that the changes of maxillary diagonal diameter, splenomegaly and cholecystitis (such as gallbladder wall rough, thickening and bilateral sign) were significantly correlated with the degree of inflammatory activity in chronic hepatitis B (P <0.05), while splenomegaly , Intrahepatic echo intensity and blood vessel running were closely related to the degree of liver fibrosis (P <0.05). Conclusion B-ultrasound performance is of great value in judging the severity of chronic hepatitis.