慢性乙型肝炎与肝硬化患者胆囊病变的B超分析  

Clinical value of B ultrasound in diagnosis of gallbladder disease in chronic hepatitis B and liver cirrhosis patients

作　　者：陈新燕[1] 门永忠[1] 吴永娟[1] 

机构地区：[1]南阳市中心医院超声科,河南南阳473009

出　　处：《中华医院感染学杂志》2015年第5期1103-1105,共3页Chinese Journal of Nosocomiology

基　　金：河南省卫生厅基金资助项目(HW-2010B-019)

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(P<0.05),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(P<0.05),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。OBJECTIVE To explore the clinical value of B ultrasound in diagnosis of gallbladder disease in the chron‐ic hepatitis B and liver cirrhosis patients so as to reduce the incidence of complication of hepatitis and liver cirrhosis and improve the clinical treatment .METHODS A total of 65 chronic hepatitis B patients complicated with liver cir‐rhosis who were treated in the hospital from Jan 2010 to Jan 2013 were retrospectively analyzed and assigned as the study group ,through the imaging and laboratory examination ,23 cases were confirmed as chronic hepatitis B ,22 cases as severe hepatitis B ,20 cases as liver cirrhosis ;meanwhile ,63 healthy people who underwent the physical examination were randomly chosen as the control group ;both groups were given the B ultrasound examination , and the B ultrasound findings were observed and compared between the two groups .RESULTS As compared with the thickness of gallbladder wall ,there was significant difference awusng the patients of the control group ,the chronic hepatitis B patients ,the severe hepatitis B patients ,and the liver cirrhosis patients （P〈0 .05） ,with the gallbladder wall of the patients with severe hepatitis B thickest ,followed by the gallbladder wall of the patients with liver cirrhosis ;however ,there was no significant difference in the diameter of common bile duct .The detec‐tion rate of abnormal gallbladder lesions of the control group was 23 .81% ,as compared with the study group , there was significant difference （P〈0 .05）;in the study group ,the detection rate of abnormal gallbladder lesions was the lowest in the patients with chronic hepatitis B （56 .52% ） ,and there was no significant difference in the detection rate of gallbladder lesions between the patients with severe hepatitis B and the patients with liver cirrho‐sis .CONCLUSION The B ultrasound is conducive to the diagnosis of gallbladder lesions in the patients with chronic hepatitis B or the hepatitis B patients complicated with liver cirrhosis and to the evaluati

关 键 词：B超 慢性乙型肝炎 肝硬化 胆囊病变 

分 类 号：R512.62[医药卫生—内科学]