慢性乙型肝炎与肝硬化患者胆囊病变的B超分析

发布时间：2018-01-16 05:13

本文关键词：慢性乙型肝炎与肝硬化患者胆囊病变的B超分析　出处：《中华医院感染学杂志》2015年05期 　论文类型：期刊论文

【摘要】：目的探讨B超检测在慢性乙型肝炎及乙型肝炎后肝硬化患者胆囊病变临床价值,以期降低肝炎肝硬化并发症发生,提高临床治疗水平。方法回顾性分析2010年1月-2013年1月65例慢性乙型肝炎后肝硬化患者,作为研究组,均经过影像学和实验室检查确诊,其中慢性乙型肝炎23例、重型乙型肝炎22例、肝硬化20例;另外随机选取同时期健康体检人员63名为对照组,均予B超检查,观察两组的B超显示情况。结果对照组在胆囊壁厚度上和慢性乙型肝炎、重型乙型肝炎和肝硬化患者比较差异有统计学意义(P0.05),以重型乙型肝炎最明显、肝硬化其次;而在胆总管内径上比较差异无统计学意义;在胆囊病变上,对照组检出异常率为23.81%,与研究各组比较差异有统计学意义(P0.05),而在研究各组中以慢性乙型肝炎组检出异常率最低,为56.52%,重型乙型肝炎和肝硬化在胆囊病变检出率上比较无差异性。结论 B超有助于判断慢性乙型肝炎及乙型肝炎后肝硬化患者胆囊病变,对肝炎病情程度有指导意义,对临床诊断有参考作用。
[Abstract]:Objective to investigate the clinical value of B-mode ultrasound in the diagnosis of chronic hepatitis B and posthepatitic cirrhosis in order to reduce the complication of hepatitis cirrhosis. Methods 65 patients with chronic hepatitis B cirrhosis from January 2010 to January 2013 were analyzed retrospectively. There were 23 cases of chronic hepatitis B, 22 cases of severe hepatitis B and 20 cases of liver cirrhosis. In addition, 63 healthy persons in the same period were randomly selected as the control group, all of them were examined by B-ultrasound. Results the thickness of gallbladder wall and chronic hepatitis B were observed in the control group. The difference between severe hepatitis B and liver cirrhosis was statistically significant (P 0.05), in which severe hepatitis B was the most obvious and cirrhosis was the second. There was no significant difference in the diameter of the common bile duct. In the gallbladder disease, the abnormal rate of the control group was 23.81, there was significant difference compared with the study group (P 0.05), but in the study group, the chronic hepatitis B group detected the lowest abnormal rate. There was no difference in the detection rate of cholecystopathy between severe hepatitis B and liver cirrhosis for 56.52. Conclusion B-mode ultrasound is helpful to judge the gallbladder disease in patients with chronic hepatitis B and posthepatitic cirrhosis. It has guiding significance to the degree of hepatitis disease and reference to clinical diagnosis.
【作者单位】：南阳市中心医院超声科;
【基金】：河南省卫生厅基金资助项目(HW-2010B-019)
【分类号】：R512.62
【正文快照】： 性和慢性迁延性,携带在不同人群中,临床表现多样,治疗不及时往往容易演变为肝硬化甚至是肝癌。研究指出,我国HBsAg阳性率约为10.00%~15.00%,感染率约为50.00%[1],所以,我国是乙型肝炎病毒感染大国。目前在诊断上主要以血液病理等为主,但有研究指出,慢性乙型肝炎和肝硬化患者常

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