病毒性肝炎胆囊B超影像学特征及其临床意义  

Imageology characteristics and clinical significance of viral hepatitis

作　　者：陈造基 

机构地区：[1]广东省汕头市第二人民医院感染科,广东汕头515011

出　　处：《世界感染杂志》2009年第4期266-267,275,共3页World Journal of Infection

摘　　要：目的通过检测病毒性肝炎患者胆囊B超影像学变化特征，探讨病毒性肝炎患者胆囊变化的机理及其临床意义。方法收集130例病毒性肝炎患者胆囊B超检查数据，与94例健康体检者的B超检查数据进行对比分析。结果所有病毒性肝炎患者的胆囊均发生不同程度B超影像学改变。急性肝炎患者以胆囊壁水肿增厚为主，与对照组比较，P〈0．001。慢性肝炎患者以胆囊壁毛糙增厚较严重，与对照组比较，P〈0．01。且胆囊长、宽度大于对照组，P〈0．05。黄疸型肝炎胆囊壁改变显著大干正常对照组，P〈0．01。27例经3wk左右治疗后复查B超者，21例胆囊壁改变基本恢复正常。结论病毒性肝炎患者均伴有胆囊壁炎症性改变，经治疗，大部分具有可逆性。Objective To investigate the mechanisms and clinical significance of cholecystis pathological changes of viral hepatitis patients by ultrasonic image detection. Methods 130 cases of viral hepatitis accepted ultrasonic image detection, and the data were compared with 94 cases of healthy people. Results All cholecyst demonstrated different degrees of morphous variation. Edema and thickening of gallbladder wall were the main pathological changes observed in acute hepatitis patients compared to control group （P〈0.001）; while the coarse and thickening were most seen in chronic hepatitis patients （P〈0.05）. Gallbladder wall changed significantly compared to icteric hepatitis patients （P〈0.01）. 21 out of 27 patients recovered after 3 weeks of treatment. Conclusions All viral hepatitis patients have gallbladder wall change and most pathology changes are reversible.

关 键 词：病毒性肝炎 胆囊 B超 

分 类 号：R512.6[医药卫生—内科学] R445.1[医药卫生—临床医学]