摘要
目的：观察CT测量脾脏体积与慢性乙型肝炎肝组织纤维化程度的关系。方法：94例慢性乙型肝炎住院患者在B超引导下行肝活检，肝组织按肝纤维化分级标准分为S1～S4期；CT测量脾脏体积。结果：肝组织纤维化S1期29例，S2期26例，S3期20例，S4期19例。CT测量脾脏体积S1～S4期分别为：（1054．80±163．82）mm^2，（1144．46±237．40）mm^2，（1152．32±153．87）mm^2，（1288．33±234．89）mm^2。自S1至S4期脾脏体积逐渐增大，其中S4期脾脏体积增大明显，与其余各期比较有统计学差异。结论：CT测量脾脏体积对慢性乙型肝炎患者肝组织纤维化程度有一定的诊断价值。
Objective：To investigate the relationship between the liver fibrosis staging and spleen volume by computed tomography in patients with chronic hepatitis B. Methods：A retrospective analysis of 94 cases with chronic hepatitis B were taken. All cases have experienced the liver biopsy guided by Doppler ultrasonography. S1-S4 were defined according to the standard of liver fibrosis stages. Spleen volume was measured by computed tomography. Results：The values of spleen volume by computed tonuography are （1 054. 80± 163.82） mm^2, （1 144.46± 237.40） mm^2, （1 152. 32±153.87） mm^2, （1 288.33± 234.89） mm^2 from S1 to S4,respectively. The value of spleen volume elevated graduately as the increasing of fibrosis stages. The group of S4 was significantly different among the group of S1 ,S2 or S3 （P〈0.05） respectively. Conclusious：spleen volumc by computed tomography help to define liver fibrosis staging on chronic hepatitis B.
出处
《中国误诊学杂志》
CAS
2009年第31期7561-7562,共2页
Chinese Journal of Misdiagnostics
作者简介
李彦娟（1973-），女，齐齐哈尔人，主治医师，硕士。研究方向：腹部及血管超声。
