慢性病毒性肝炎胆囊壁声像图厚度变化与肝组织病变类型的观察  

A comparative study of gallbladder wall thickness detected by ultrasound and liver pathology changes in chronic viral hepatitis.

作　　者：许德军[1] 王建红[1] 李太平[1] 李文[1] 郑锦芳 

机构地区：[1]河南省安阳市第五人民医院

出　　处：《中国实用内科杂志》1999年第2期85-86,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的了解慢性病毒性肝炎胆囊壁声像图变化与肝组织病变类型的关系。方法收集２９６例经病理检查确诊的慢性肝炎，将其胆囊壁声像图的改变与肝组织病变类型的变化规律进行对比分析。结果Ｂ超检测慢性肝炎胆囊壁总异常率为５６７６％，其中轻度（１０４／２１１）占４９２８％，中度（７０／７５）９３３３％，重度（１０／１０）１００％。慢性肝炎中度、重度与轻度组经χ２检验Ｐ＜００１、Ｐ＜００５，有显著性差异。胆囊壁厚度与肝脏病理变化的对比显示，胆囊壁厚度逐渐增加，肝脏病理损害也随之加重。轻度与中度组经ｔ检验Ｐ＜００１；轻度与重度组Ｐ＜００１；重度与中度组Ｐ＜００１。结论胆囊壁声像图厚度变化对慢性病毒性肝炎的临床分型、判断病情具有很重要的参考价值。Objective\ To study ultrasound image of gallbladder wall changes and liver pathology changes in chronic viral hepatitis.Methods\ Compared with ultrasound diagnosis,296 cases of chronic viral hepatitis confirmed by pathology were analysed with ultrasound.Results\ Total abnormal rate is 56.76%.mild hepatitis group is 49.28%(104/211);moderate hepatitis group is 93.33%(70/75);severe hepatitis is 100%(10/10).There is significant difference between the moderate group and the mild group( P <0.01),also between the severe group and the mild group( P <0 05).A comparative study of gallbladder wall thickness and liver pathological changes indicated that the thickness of gallbladder wall increased as liver pathological damage aggravated.There is significant difference among the mild,moderate and severe group ( P <0.01).Conclusion\ Ultrasound measurement in chronic viral hepatitits plays an important role in clinical diagnosis and assessment of the severity of the disease.

关 键 词：胆囊壁 慢性 病毒性肝炎 病理 超声波诊断 

分 类 号：R512.604[医药卫生—内科学]