Association of liver histopathology and clinical features among patients with chronic hepatitis B virus infection
10.3760/cma.j.issn.1003-9279.2011.03.018
- VernacularTitle:慢性乙肝病毒感染者肝脏病理与临床特征研究
- Author:
Chuan-Tong LU
1
;
Guo-Sheng GAO
Author Information
1. 宁波市传染病医院
- Keywords:
Hepatitis B,chronic;
Alanine aminotransferase;
Hyaluronic acid;
Histopathology
- From:
Chinese Journal of Experimental and Clinical Virology
2011;25(3):214-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the histopathological features of chronic hepatitis B virus ( HBV) carriers and chronic hepatitis B( CHB) patients with mildly elevated serum alanine aminotransferase ( ALT) . Methods 105 patients were divided into three groups according to serum ALT levels; Croup A [ALT level ≤0. 5 × upper limits of normal ( ULN)] , Group B (0. 5 × ULN ＜ ALT level≤ 1 × ULN) and Group C( 1 × ULN ＜ ALT level ＜ 2 × ULN ). Grade of liver inflammation and stage of liver fibrosis in the three groups were compared. The changes in clinical parameters were then observed in patients who had liver histopathological changes. Results Among 40. 95% of the patients, hepatitis degree went to G2 or even worse; and among 30.43% of the patients whose ALT level were normal, the hepatitis degree reached G2 or even worse. In 26. 67% of the patients, degree of fibrosis went to S2 or even worse, and for the 17. 39% patients whose ALT level were normal, degree of fibrosis went to S2 or even worse. The aggravation of liver inflammation and fibrosis was correlated with ALT and hyaluronic acid increasing ( all P ＜ 0. 05 ) . Conclusions Frequent monitoring of serum ALT and hyaluronic acid may help to understand histopathological changes in the liver. Liver biopsy applied to CHB should be regarded as a main basis if antiviral therapy should be conducted.
