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目的评估瞬时弹性波扫描仪检查(Fibroscan)在诊断慢性乙型肝炎患者肝纤维化中的应用.方法分别用 Fibroscan 对无症状 HBV 携带者、慢性乙型肝炎、乙肝肝硬化患者各40例进行肝脏硬度值(liver stiffness values,LSM)测定,然后分析各组患者间 LSM 有否差异.结果116例患者成功获得 LSM 值,肝硬化患者 LSM 值明显高于慢性乙型肝炎患者与无症状 HBV 携带者,差异有统计学意义,慢性乙型肝炎患者 LSM 值也明显高于无症状 HBV 携带者,差异有统计学意义.结论 Fibroscan 检查有助于肝病患者的肝纤维化诊断,具有临床应用价值.“,”Objective To evaluate theclinical value of transient elastography( Fibroscan ) for diagnosing liver fibrosis in patients with chronic hepatitis B Methods Liver stiffness values(LSM) were assessed using transient elastography in totaly 120 subjects including 40 asymptomatic hepatitis B virus(HBV) carriers,40 patients with chronic hepatitis B(CHB)and 40 patients with HBV-related cirrhosis.LSM was used to evaluate the value of Fibroscan for diagnosing liver fibrosis. Results Failure of the measurement occurred in 4 cases. LSM in HBV carriers was lowest ,that in patients with HBV-related cirrhosis was highest, the differences were statisticaly significant(P < 0.05or P < 0.001).Conclusion Fibroscan is helpful to diagnose liver fibrosis, has clinical value.