刘玉芹
LIU Yuqin

• 1:迁西县人民医院

摘要(Abstract)：

目的:探讨慢性乙型肝炎和乙型肝炎后肝硬化患者胆囊B型超声的特点。方法:采用SSA-340A彩色多普勒超声诊断仪,以20例慢性乙型肝炎及20例慢性乙型肝炎后肝硬化患者为观察组,观察患者胆囊壁形态、胆囊内透声、胆总管内径,并设同期健康体检者20例对照组对比分析。结果:观察组胆囊壁厚度值高于对照组(P<0.05),慢性乙型肝炎、乙型肝炎后肝硬化患者间比较差异无统计学意义(P>0.05);观察组胆总管内径与对照组比较差异无统计学意义(P>0.05);观察组胆囊异常检出率慢性乙型肝炎为55.0%,乙型肝炎后肝硬化为95.0%,明显高于对照组的25.0%(P<0.05)。结论:B超检查可发现慢性乙型肝炎及慢性乙型肝炎后肝硬化患者胆囊病变。
Objective: To investigate the characteristics of B-type ultrasonic in patients with chronic hepatitis B and liver cirrhosis. Methods: SSA-340 A color Doppler ultrasonic diagnostic apparatus was adopted to observe gallbladder wall morphology,gallbladder through sound,diameter of the common bile duct and scanning of 40 cases of patients with chronic hepatitis B and liver cirrhosis. Meanwhile,20 cases of healthy controls were set up at the same period for comparison. Results: The differences in thickness of gallbladder wall between observation group and control group were statistically significant( P < 0. 05),but not statistically significant between patients with chronic hepatitis B and liver cirrhosis( P > 0. 05); The differences in common bile duct diameter between observation group and control group were not statistically significant( P > 0. 05). In observation group,detection rate of chronic hepatitis B resulted from abnormal gallbladder was 55. 0%,and detection rate of liver cirrhosis was95. 0%,which were significantly higher than their counterparts in control group( 25. 0%,P < 0. 05).Conclusion: Type-B ultrasonic inspection can play an important role in diagnosing chronic hepatitis B and liver cirrhosis through gallbladder lesions.

关键词(KeyWords)： 乙型肝炎;慢性肝炎;重型乙型肝炎;乙型肝炎后肝硬化;胆囊;B型超声
hepatitis B;chronic hepatitis;severe;posthepatitis B cirrhosis;gallbladder;Type-B ultrasound

Abstract:

Keywords:

基金项目(Foundation): 唐山市科技计划项目(13130285a)

作者(Author): 刘玉芹
LIU Yuqin

DOI: 10.19367/j.cnki.1000-2707.2016.04.029

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