超声波评分系统对代偿性肝硬化的诊断价值

Evaluation of ultrasonographic scoring system in diagnosis of compensated cirrhosis in patients with chronic liver disease

目的探讨超声波评分系统对代偿性肝硬化的诊断价值。方法选取55例慢性肝病患者行经皮肝脏穿刺活检术进行病理组织学检查,同时行空腹肝脏B型超声波观察肝硬化声像改变并对肝实质回声、肝表面、肝脏边缘、肝静脉、脾脏面积等7项参数综合评分。结果超声波评分系统对早期肝硬化的诊断灵敏度为93.75%,特异度为87.18%。结论超声波评分系统可作为筛检代偿性肝硬化较灵敏的诊断系统。

Objective To assess the value of the ultrasonographic scoring system in the diagnosis of compensated cirrhosis in the patients with chronic liver disease. Methods 55 patients with chronic liver disease were undertaken liver biopsy and ultrasonic examination of type B for determination of scores of liver parenchyma echogenicity,liver surface,liver edge,hepatic veins,the size of spleen and so on. Results In the diagnosis of early hepatic cirrhosis with the ultrasonographic scoring system,the sensitivity was 93.75%,the specificity was 87.18%. Conclusion This ultrasonographic scoring system allows for a sensitive diagnosis of compensated cirrhosis in the patients with chronic liver disease.