利用瞬时弹性成像技术测量慢性肝病肝硬化患者肝硬度值及脾硬度值 1 Child-Pugh分级慢性乙型肝炎肝硬化、慢性丙型肝炎肝硬化、原发性胆汁性肝硬化、酒精性肝炎肝硬化、自身免疫性肝炎肝硬化患者的肝硬度值及脾硬度值比较,差异均有统计学意义(P<)。不同食管胃底静脉曲张程度慢性乙型肝炎肝硬化、慢性丙型肝炎肝硬化、原发性胆汁性肝硬化、酒精性肝炎肝硬化、自身免疫性肝炎肝硬化患者的肝硬度值及脾硬度值比较,差异均有统计学意义(P<)。不同出血情况慢性乙型肝炎肝硬化、慢性丙型肝炎肝硬化、原发性胆汁性肝硬化、酒精性肝炎肝硬化、自身免疫性肝炎肝硬化患者的肝硬度值及脾硬度值比较,差异均有统计学意义(P<)。结论 Child-Pugh 分级越高、食管胃底静脉曲张程度越重、出血情况越重慢性肝病肝硬化患者肝硬度值及脾硬度值越高;瞬时弹性成像技术可以有效地预测慢性肝病肝硬化患者食管胃底静脉曲张出血的风险。 【关键词】肝病;肝硬化;食管和胃静脉曲张;弹性成像技术 【 【Abstract】OBJECTIVE To measure liver stiffness and spleen hardness of patients with chronic liver disease and cirrhosis by transient elastography (FibroScan), and evaluate the liver stiffness and spleen hardness of patients with different Child-Pugh classification, the degree of esophageal gastric varices and bleeding. METHODS 340 cases with liver cirrhosis (patients with chronic hepatitis B in 170 cases, Chronic hepatitis C in 35 cases, primary biliary cirrhosis in 46 cases, alcoholic liver cirrhosis in 55 cases, and 34 cases of patients with autoimmune hepatitis) in our hospital were selected as research object , and tested routine blood test, routine coagulation, liver function, abdominal ultrasound, electronic gastroscopy and examed the hardness of liver and spleen by FibroScan. RESULTS The liver stiffness and spleen hardness of patients between different Child-Pugh classification, degree of esophageal gastric varices and bleeding al
