摘要
目的探讨诊断病毒性肝炎合并胆道损害中超声影像的作用。方法对2018年2月至2019年2月入院的84例不同类型病毒性肝炎与胆道损害合并症患者全部实施超声检查,依次扫描其胆囊和肝脏,了解肝内胆管、胆囊壁是否发生异常,胆囊的实际体积、胆囊的具体情况进行观察,并且做好记录。结果胆系异常在急性病毒性肝炎、慢性病毒性肝炎、重型肝炎、肝炎肝硬化患者中合并率分别为51.72%、34.28%、100.00%、58.33%。结果显示,重型肝炎胆系异常合并率与其他3种类型进行两两比较,差异均有统计学意义(P<0.05)。结论病毒性肝炎患者的胆道损害程度与病变程度及肝炎的类型都有关系,进行超声影像的检查,可以有效的预测患者的病情。
Objective To discuss the role of ultrasonography in the diagnosis of viral hepatitis combined with biliary tract damage.Methods Ultrasonography was performed on all 84 patients with different types of viral hepatitis and biliary tract damage comorbidities admitted from February 2018 to February 2019,and their gallbladder and liver were scanned in turn to understand whether the intrahepatic bile duct and gallbladder wall were abnormal.Observe the actual volume and the specific conditions of the gallbladder and make a record.Results The combined rates of biliary abnormalities in patients with acute viral hepatitis,chronic viral hepatitis,severe hepatitis,and hepatitis and cirrhosis were 51.72%,34.28%,100.00%,and 58.33%,respectively.The results showed that the combined rate of abnormal biliary system of severe hepatitis was compared with the other three types,and the difference was statistically significant(P<0.05).Conclusion The degree of biliary damage in patients with viral hepatitis is related to the degree of disease and the type of hepatitis.Ultrasound imaging can effectively predict the patient's condition.
作者
雷明君
LEI Mingjun(Department of Ultrasound,Third People's Hospital of Yingkou,Yingkou 115000,China)
出处
《中国医药指南》
2020年第29期79-80,共2页
Guide of China Medicine
关键词
病毒性肝炎
胆道损害
超声影像
诊断
Viral hepatitis
Biliary tract damage
Ultrasonic images
Diagnosis
