脾脏厚度与肝组织纤维化程度的关系

Relationship between the liver fibrosis degree and the thickness of spleen

目的了解脾脏厚度与肝组织纤维化程度的关系。方法166例慢性病毒性肝炎住院患者在B超引导下行肝活检,肝组织按肝纤维化分级标准划分为S0-S4。B超测量患者脾脏厚度。结果S0-S4组脾脏厚度分别是：（32±7）mm、（33±4）mm、（36±6）mm、（42±14）mm、（47±12）mm。自S3到S4期脾脏明显逐渐增厚。结论脾脏厚度对慢性病毒性肝炎患者肝组织纤维化程度有一定的诊断价值。

Objective To study the relationship between the liver fibrosis degree and the thickness of spleen（SPT）. Methods Liver specimens from 166 patients with chronic viral hepatitis were divided into 5 groups from So to S4 according to the liver fibrosis degrees. SPT was measured by ultrasonic B. Results The results of SPT of groups So, S1 , S2, S3 and S4 were （ 32 ± 7） ram, （33 ±4） mm, （36 ± 6） mm, （42 ± 14） mm and（47 ± 12） mm respectively. SPT increased significantly and gradually with developing liver fibrosis degrees from S3 to S4, Conclusion Observation of SPT has some certain significance to diagnose the degree of liver fibrosis in patients with chronic viral hepatitis.