| 李华威.FibroTouch和ARFI对慢性乙型肝炎患者肝脏纤维化程度诊断价值分析[J].浙江中西医结合杂志,2018,28(1): |
| FibroTouch和ARFI对慢性乙型肝炎患者肝脏纤维化程度诊断价值分析 |
| The Value of FibroTouch and ARFI in the diagnosis of liver fibrosis in patients with chronic hepatitis B |
| 投稿时间：2017-06-06 修订日期：2017-07-26 |
| DOI： |
| 中文关键词: 肝脏瞬时弹性探测 声辐射力脉冲成像技术 慢性乙型肝炎 肝脏纤维化 诊断价值 |
| 英文关键词:FibroTouch ARFI Chronic hepatitis B Liver fibrosis Diagnostic value. |
| 基金项目: |
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| 中文摘要: |
| 目的：旨在探讨FibroTouch(肝脏瞬时弹性探测)和ARFI(声辐射力脉冲成像技术)对慢性乙型肝炎患者肝脏纤维化程度诊断价值。方法：选取我院2015年12月~2016年12月收治慢性乙型肝炎患者134例,对134例患者均进行FibroTouch和ARFI检测,通过比较患者FibroTouch和ARFI检测结果,分析两种检测方式对慢性乙型肝炎肝脏纤维化程度的诊断价值。结果：LSM值和VTQ值在各病理分期程度中存在明显变化,随肝组织病理分期的增加其数值随着上升(P<0.05)；在同一病理分期中,LSM值和VTQ值存在明显差异(P<0.05)；LSM值和VTQ值与肝纤维化程度均呈现正相关性,随着纤维化程度的增高而上升,与肝穿刺病理分期的相关系数分别为0.729、0.712(P<0.001)；FibroTouch在S≥2、S≥3及S=4期AUC分别为0.883、0.880、0.871,ARFI分别为0.870、0.857、0.882,FibroTouch与ARFI检测AUC无明显差异(P>0.05)。结论：FibroTouch及ARFI检测均可有效评估慢性乙型肝炎患者肝脏纤维化程度。 |
| 英文摘要: |
| Objective: To investigate the diagnostic value of FibroTouch (hepatic transient elastography) and ARFI (acoustic radiation force impulse imaging) in the diagnosis of liver fibrosis in patients with chronic hepatitis B. Methods: 134 cases with chronic hepatitis B in our hospital from December 2015 to December 2016 patients were selected. 134 cases underwent FibroTouch and ARFI detection. The value of the two kinds of detection methods in diagnosis of liver fibrosis in patients with chronic hepatitis B were analyzed by comparing the test results. Results: There were obvious changes about LSM and VTQ values in the degree of pathological staging, and with the rise of liver pathological stage its value increased(P<0.05). There was significant difference between LSM and VTQ values in the same pathological stage(P<0.05). The |
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