摘要
目的探讨慢性乙型(HB)与慢性丙型(HC)病毒性肝炎超声表现的差异及与病理的联系。方法应用B超检查130例HB和106例HC患者,观察其肝脏声像表现与病理结果并作对照研究。结果HB声像图显示肝脏回声增粗、增强、或条索样不均匀表现,与病理结果高度相关(P<0.001),HC声像表现以回声细微、致密为主,与病理改变高度相关(P<0.001)。两型肝炎合并脂肪肝程度都不相同(P<0.001)。结论超声检查有助于乙型肝炎和丙型肝炎病理特征的鉴别诊断。
Objective To explore the relation of ultrasonic findings to pathological features in cases of chronic viral hepatitis B and C. Methods The ultrasonic and pathological findings were analyzed in 130 patients with chronic viral hepatitis B and 106 with chronic viral hepatitis C. Results In patients with hepatitis B, the ultrasonic echo was thicker and more intensive and uneven cords were found. These findings were closely related to the pathological findings ( P < 0.001). In those with hepatitis C, the ultrasonic echo was slight and dense, which was also closely related to the pathological findings ( P < 0.001) . In the patients complicated with fatty liver, the ultrasonic findings were also different ( P < 0.001) . Conclusion Ultrasonography is helpful for differential diagnosis of hepatitis B and hepatitis C.
出处
《中华实验和临床病毒学杂志》
CAS
CSCD
北大核心
2003年第4期337-338,共2页
Chinese Journal of Experimental and Clinical Virology