第41卷第3期2023年6月广东医科大学学报JOURNALOFGUANGDONGMEDICALUNIVERSITYVol.41No.3Jun.2023275可视化与FibroScan瞬时弹性成像诊断慢性乙型肝炎肝纤维化程度的相关性曾伟梅1，董常峰1,2*，李志艳2，冯程2，赵宁波2，黄琨2，何为芬2（1.广东医科大学第一临床医学院，广东湛江524000；2.广东医科大学深圳市第三人民医院超声科，广东深圳518112）摘要：目的探讨可视化瞬时弹性成像（ViTE）与FibroScan瞬时弹性成像（FibroScan）诊断慢性乙型肝炎（慢乙肝）肝纤维化程度的相关性。方法66例慢乙肝患者根据肝穿刺活检结果判断是否存在肝纤维化，均用ViTE和FibroScan检测肝硬度值。结果肝纤维化组ViTE与FibroScan测定的肝硬度值高于无肝纤维化组（P<0.05）。Pearson相关分析显示ViTE与FibroScan测定值呈高度正相关（r=0.893，P<0.01），Bland-Altman图显示ViTE与FibroScan测定值差异无统计学意义（P>0.05）。结论ViTE与FibroScan检测慢乙肝肝纤维化程度呈高度正相关，一致性强，二者均可区分有无明显肝纤维化。关键词：可视化瞬时弹性成像；FibroScan；慢性乙型肝炎；肝纤维化中图分类号：R445.1；R575文献标志码：A文章编号：2096-3610（2023）03-0275-04CorrelationbetweenViTEandFibroScanforhepatofibrosisduetochronichepatitisBZENGWei-mei1,DONGChang-feng1,2*,LIZhi-yan2,FENGCheng2,ZHAONing-bo2,HUANGKun2,HEWei-fen2(1.FirstClinicalMedicalCollegeofGuangdongMedicalUniversity,Zhanjiang524000,China;2.DepartmentofUltrasound,ShenzhenThirdPeople’sHospital,GuangdongMedicalUniversity,Shenzhen518112,China)Abstract:ObjectiveToinvestigatethecorrelationbetweenvisualtransientelastography(ViTE)andFibroScanforliverfibrosiscausedbychronichepatitisB(CHB).MethodsThehepatofibrosisof66CHBpatientswastestifiedbyliverbiopsy,andthenevaluatedbyViTEandFibroScan.ResultsTheliverstiffnesswashigherinhepatofibrosisgroupthaninnon-hepatofibrosisgroup(P<0.05).PearsoncorrelationalanalysisshowedapositivecorrelationbetweenViTEandFibroScan(r=0.893,P<0.01),whileBland-AltmanplotrevealednosignificantdifferencesbetweenViTEandFibroScan(P>0.05).ConclusionBothViTEandFibroScancanjudgethepresenceofhepatofibrosis,withahighpositivecorrelationandconsistencybetweenthem.Keywords:visualtransientelastography;Fib...
