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目的研究观察血清γ球蛋白结合B超检查对慢性乙型肝炎两种模式的临床监测价值。方法慢性乙型肝炎病人大、小三阳者为研究对象,进行肝功能、蛋白电泳、甲胎蛋白(AFP)及B超检查,比较两种感染模式的差异。结果大、小三阳组与对照组丙氨酸氨基转移酶(ALT)、总胆红素(STB)、γ球蛋白比较,P值<0.01,差异有统计学意义。小三阳组与对照组AFP比较,P<0.05,差异有统计学意义。γ球蛋白结合肝脏B超检查,发现肝细胞病变率可高达90.2%和86.2%。结论γ球蛋白结合肝脏B超检查有助于提高肝脏病变的检出率。
Objective To investigate the clinical value of serum gamma globulin binding B-mode ultrasonography in detecting two chronic hepatitis B patients. Methods Large and small three-yang patients with chronic hepatitis B were enrolled in this study. Liver function, protein electrophoresis, AFP and B-ultrasound were performed to compare the differences in the two modes of infection. Results Compared with control group, ALT, total bilirubin (STB) and γ-globulin in the Sanyang group and the small Sanyang group had significant difference (P <0.01), the difference was statistically significant. Small Sanyang group and control group AFP, P <0.05, the difference was statistically significant. γ-globulin combined with liver B-ultrasound and found that hepatocytic lesions rate can be as high as 90.2% and 86.2%. Conclusion Gamma globulin combined with liver B-ultrasound can help improve the detection rate of liver lesions.