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５６７６％，其中轻度（１０４／２１１）占４９２８％，中度（７０／７５）９３３３％，重度（１０／１０）１００％。慢性肝炎中度、重度与轻度组经χ２检验Ｐ＜００１、Ｐ＜００５，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＜００１；轻度与重度组Ｐ＜００１；重度与中度组Ｐ＜００１。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.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
1999年第2期85-86,共2页
Chinese Journal of Practical Internal Medicine
关键词
胆囊壁
慢性
病毒性肝炎
病理
超声波诊断
Ultrasound\ Gallbladder wall\ Chronic viral
hepatitis\ Pathology
