彩色多普勒超声检测肝左叶被膜厚度在肝纤维化和早期肝硬化诊断中的应用价值分析  

Application of Ultrasound Diagnosing Left Hepatic Lobe Cap Thickness in Hepatic Fibrosis and Earlier Hepatic Cirrhosis

作　　者：黄崑[1] 赵一[2] 梁松年[2] 王学梅[1] 欧国成[1] 

机构地区：[1]中国医科大学附属第一医院超声科,辽宁省沈阳市110001 [2]中国医科大学附属第一医院放射科,辽宁省沈阳市110001

出　　处：《中国全科医学》2013年第21期2541-2542,共2页Chinese General Practice

摘　　要：目的探讨彩色多普勒超声检测肝左叶被膜厚度对诊断肝纤维化及早期肝硬化的应用价值。方法选择2010年9月—2011年4月中国医科大学附属第一医院消化科疑诊为肝纤维化和早期肝硬化患者93例,均通过彩色多普勒超声测量肝左叶被膜的厚度以明确有无肝硬化及肝纤维化,以0.8 mm为标准,<0.8 mm为阴性,≥0.8 mm为阳性。同期行穿刺活检或经手术证实是否为肝硬化或肝纤维化,并以此为金标准计算彩色多普勒超声诊断肝纤维化和肝硬化的敏感度、特异度及准确度。结果通过彩色多普勒测量肝左叶被膜增厚的方法诊断肝纤维化、早期肝硬化的敏感度为90.38%(47/52),特异度为87.80%(36/41),准确度为89.25%(83/93)。结论肝左叶被膜厚度可以作为定量诊断肝纤维、早期肝硬化的诊断依据之一。Objective To study the value of ultrasound diagnosing left hepatic lobe cap thickness in hepatic fibrosis and earlier hepatic cirrhosis.Methods 93 patients suspected of hepatic fibrosis and earlier hepatic cirrhosis and admitted to the Digestive Department of the First Affiliated Hospital of China Medical University from September 2010 to April 2011 were selected.The left hepatic lobe cap thickness of the patients was tested by color Doppler ultrasound to determine hepatic fibrosis and hepatic cirrhosis with 0.8 mm being negative and ≥0.8 mm being positive.Needle biopsy and surgery were also performed at the same time to confirm the hepatic fibrosis and hepatic cirrhosis.The sensitivity,specificity and accuracy of color Doppler ultrasound were calculated.Results The sensitivity,specificity and accuracy of color Doppler ultrasound were 90.38%（47 /52）,87.80%（36 /41） and 89.25%（83 /93） respectively in testing the left hepatic lobe cap thickness.Conclusion The thickness of left hepatic lobe can be regarded as one of evidence in diagnosing hepatic fibrosis and earlier period hepatic cirrhosis.

关 键 词：肝左叶被膜 厚度 肝纤维化 肝硬化 

分 类 号：R657.31[医药卫生—外科学]