胆石症中医辨证分型与B超特征关系的探讨  

Zheng Differentiation-classification and B Ultrasound Characteristic of Cholelithiasis

作　　者：刘芳[1] 陕大艳[1] 陈启明[1] 涂昭号 刘洁[1] 陈爱萍[1] 肖林[1] 左凌[1] 

机构地区：[1]荆州市第一人民医院,湖北荆州434000

出　　处：《中医学报》2014年第7期1045-1046,共2页Acta Chinese Medicine

基　　金：国家自然科学基金项目(编号:30860286)

摘　　要：目的:探讨胆石症中医辨证分型与B超声像图特征间的关系。方法:选取40例胆石症患者作为分析依据。将患者的中医辨证分型结果与B超检查结果进行比较,40例胆石症患者经中医辨证分型为肝胆湿热证、湿毒积聚证、肝郁气滞证三证。结果:湿毒积聚证者B超提示为多发性胆囊结石、急性梗阻性化脓性胆管炎;肝胆湿热证者B超提示为多发性胆囊结石、慢性胆囊炎、胆总管扩张伴结石;肝郁气滞证者B超提示为胆囊充填型结石、轻度胆囊炎。结论:胆石症的中医辨证分型与B超声像图特征有着密切的联系,该方法为中西医诊治胆石症的过程中提供了思路。Objective： To investigate the relationship between zheng differentiation-classification and B ultrasound characteristic of cholelithiasis. Methods： Compare the zheng differentiation-classification results and B ultrasonic examination results. 40 patients with cholelithiasis were divided into hepatochlic hygropyrexia,damp toxin accumulation and stagnation of QI due to depression of the liver. Results：Hepatochlic hygropyrexia was certificate as cholecystolithiasis and acute obstructive suppurative cholangitis. Damp toxin accumulation was certificate as cholecystolithiasis,chronic cholecystitis and choledochectasia with calculus. Stagnation of QI due to depression of the liver was certificate as gallbladder filling calculi and mild cholecystitis. Conclusion： Zheng differentiation-classification and B ultrasound characteristic of cholelithiasis has close relation. This method provides thought for the diagnosis and treatment of cholelithiasis and can yet be regarded as effective attempt.

关 键 词：胆石症 胆湿热证 湿毒积聚证 肝郁气滞证 B超特征 

分 类 号：R259.756.2[医药卫生—中西医结合]