摘要
目的探讨酒精性肝硬化(ALC)与乙肝肝硬化(LC)患者肝脏的超声影像学特征,为两种疾病的鉴别诊断提供依据。方法采用Alako SSD4000彩色多普勒超声仪(探头频率为2.5～6.0MHz)检测69例LC和54例ALC,比较两组患者左、右肝脏厚径、门静脉内径、脾脏厚度、肝脏形态、肝脏被膜是否平滑及肝脏内部回声。结果 LC患者肝脏体积缩小、形态失常、肝被膜锯齿状改变、实质斑片状不均回声发生率及脾脏增厚程度与ALC患者比较差异有统计学意义(P<0.01);ALC患者肝脏体积增大和肝实质内弥漫性回声增强发生率与LC患者比较差异有统计学意义(P<0.01);门静脉内径两组间差异无显著性意义(P>0.05)。结论 ALC与LC有着明显不同的肝脏超声影像学特征,可作为临床鉴别诊断的依据。
Objective To study the ultrasonographic images of alcoholic liver cirrhosis（ALC）and liver cirrhosis resulting from chronic hepatitis B（LC）in order to differentially diagnose the two conditions.Methods The liver thickness on the left and right,the inner diameter of the portal vein,the thickness of the spleen,liver morphology,whether or not the peritoneum was smooth,and internal echoes of the liver were compared in 69 patients with LC and 54 patients with ALC using ultrasonographic images.The Alako SSD4000 diagnostic system with 2.5 to 6.0 MHz abdominal probes was used.Results The incidence of shrinkage of the liver,its abnormal morphology,the jagged appearance of the peritoneum,the incidence of heterogeneous patchy echoes of the parenchyma and thickening of the spleen in patients with LC were more significant than in patients with ALC（P0.01）.The incidence of enlargement of the liver and diffuse hyper-echoes in patients with ALC were more significant than in patients with LC（P0.01）.The inner diameter of the portal vein did not differ significantly between the two sets of patients（P0.05）.Conclusion Liver cirrhosis resulting from chronic hepatitis B（LC） and alcoholic liver cirrhosis（ALC）were distinguished by ultrasonographic images.
出处
《中国病原生物学杂志》
CSCD
2010年第8期619-620,共2页
Journal of Pathogen Biology
关键词
超声
乙肝肝硬化
酒精性肝硬化
Ultrasound
liver cirrhosis resulting from chronic hepatitis B
alcoholic liver cirrhosis
