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目的分析对照肝功能正常的慢性乙型肝炎患者的超声特点并与病理结果对照,用以评价其准确性,最终为该病的准确治疗提供支持。方法 150例慢性乙型肝炎患者,在超声引导下行肝活检,对照分析其病理结果 ,反过来印证超声诊断的准确性。结果在所有入选的慢性乙型肝炎患者中轻度患者59例,中-重度患者71例,肝硬化患者20例。经过超声检查诊断,其中诊断正常12例,诊断阳性138例,敏感性为92%。其中轻度患者49例,中-重度患者61例,肝硬化28例。经过超声检查诊断正确130例患者,准确率达到87%。结论超声检查对慢性乙型肝炎患者正确率高,通过超声声像图能够较准确的评价患者的病情,在临床诊断中具有重要的应用价值。
Objective To analyze the ultrasonographic features of chronic hepatitis B patients with normal liver function and compare them with the pathological results to evaluate their accuracy and finally provide support for the accurate treatment of the disease. Methods A total of 150 patients with chronic hepatitis B underwent liver biopsy under ultrasound guidance. The pathological results were compared with each other, which in turn confirmed the accuracy of ultrasound diagnosis. Results Of all patients with chronic hepatitis B, 59 were mild, 71 were moderate-severe, and 20 were liver cirrhosis. After ultrasound examination diagnosis, including 12 cases of normal diagnosis, the diagnosis of 138 cases of positive, the sensitivity was 92%. Among them, 49 were mild, 61 were moderate-severe, and 28 were cirrhosis. After the ultrasound diagnosis of the right 130 patients, the accuracy rate of 87%. Conclusion Ultrasonography has a high accuracy rate in patients with chronic hepatitis B, which can be used to evaluate the patients’ condition more accurately by ultrasonography. It is of great value in clinical diagnosis.