Objective：To explore the value of MELD scoring system in assessing hepatic functional reserve in patients with chronic hepatic injury.
Methods：Retrospective analysis of  the preoperative MELD scores of 38 patients with chronic hepatic injury undergoing liver transplantation was made,  the  quantitative values of liver fibrosis by computer-assisted digital image analysis was evaluated after operation, and the correlation between the  MELD score and the percentage of liver fibrosis was analyzed.
Results：A positive linear correlation was found between MELD score and the percentage of hepatic fibrosis in patients with chronic hepatic injury. In the Child-Pugh A,B and C groups, the MELD score had significant difference(P＜0.01).
Conclusions：MELD scoring system can be used to predict the hepatic functional reserve in patients with chronic hepatic injury.