超声与MSCT对乙肝患者早期肝硬化的诊断价值比较  

Comparison of the Diagnostic Value of Ultrasound and MSCT for Early Liver Cirrhosis in Patients with Hepatitis B

作　　者：陈婉明 周汇恩 刘长珠 计宏媛 王俊东 CHEN Wan-ming;ZHOU Hui-en;LIU Chang-zhu;JI Hong-yuan;WANG Jun-dong(Department of Ultrasound,the Eighth Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,Guangdong Province,China)

机构地区：[1]广州医科大学附属市八医院超声科,广东广州510150

出　　处：《中国CT和MRI杂志》2021年第7期106-108,共3页Chinese Journal of CT and MRI

摘　　要：目的探究超声与多层螺旋CT诊断乙肝患者早期肝硬化的诊断价值。方法选择2018年1月至2019年1月我院收治的80例早期慢性乙型肝炎肝硬化患者及50例慢性乙型肝炎患者作为研究对象,所有患者均行超声及MSCT检查并行肝穿刺病理组织学证实。比较乙肝组及肝硬化组患者肝脏超声半定量评分及MSCT定量体积测定差异,分析两者诊断效能。结果肝硬化组超声半定量评分显著高于乙肝组,肝硬化组MSCT测定肝脏体积显著低于乙肝组,差异具有统计学意义(P<0.05);以病理诊断作为“金标准”,超声诊断乙肝肝硬化的诊断敏感度、特异度、准确度、阳性预测值、阴性预测值分别为90.0%、86.0%、88.46%、91.1%、84.3%;MSCT分别为96.3%、96.0%、96.2%、97.5%、94.2%,MSCT诊断准确度显著高于超声(P<0.05)。结论超声及MSCT均对乙肝肝硬化具有一定诊断价值,其中MSCT诊断准确率更高。Objective To investigate the diagnostic value of ultrasound and multi-slice spiral CT(MSCT)for early liver cirrhosis in patients with hepatitis B.Methods Eighty patients with early chronic hepatitis B cirrhosis and 50 patients with chronic hepatitis B admitted to the hospital from January 2018 to January 2019 were selected as subjects.All of them underwent ultrasound and MSCT examinations were diagnosed with histopathology by liver biopsy.The liver ultrasound semi-quantitative score and MSCT quantitative volume measurement were compared between patients with hepatitis B and patients with cirrhosis.The diagnostic efficiencies of the two methods were analyzed.Results The ultrasound semi-quantitative score of the cirrhosis group was significantly higher than that of the hepatitis B group.The liver volume of the cirrhosis group measured by MSCT was significantly smaller than that of the hepatitis B group(P<0.05).With pathological diagnosis as the golden standard,the diagnostic sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of ultrasound for hepatitis B cirrhosis were 90.0%,86.0%,88.46%,91.1%and 84.3%,respectively.Those of MSCT were 96.3%,96.0%,96.2%,97.5%,and 94.2%respectively.The diagnostic accuracy of MSCT was significantly higher than ultrasound(P<0.05).Conclusion Ultrasound and MSCT are of certain diagnostic value for hepatitis B cirrhosis,and the diagnostic accuracy of MSCT is higher.

关 键 词：超声 多层螺旋CT 体层计算机摄影 乙型肝炎 肝硬化 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]