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目的探讨超声检查对慢性肝炎患者合并胆囊病变的意义。方法在416例慢性肝炎患者和605例正常对照组进行腹部B超检查,分析胆囊图像的改变。结果在乙型肝炎患者中发现胆囊病变187例(52.5%),丙型肝炎患者发现7例(28.0%),乙/丙型肝炎及乙/丁型肝炎患者共发现6例(17.1%);在正常组发现胆囊病变77例(12.7%,P<0.05)。在416例慢性肝炎患者中发现胆囊结石58例(13.9%),胆囊壁增厚97例(23.3%),胆囊息肉样变45例(10.8%),均明显高于正常对照组(P<0.01)。结论慢性肝炎患者易合并胆囊病变,超声检查是诊断慢性肝炎患者合并胆囊病变的首选手段。
Objective To investigate the significance of ultrasonography in the treatment of patients with chronic hepatitis gallbladder lesions. Methods Abdominal B-ultrasound was performed in 416 patients with chronic hepatitis and 605 healthy controls, and the gallbladder image was analyzed. Results A total of 187 gallbladder lesions (52.5%) were found in hepatitis B patients, 7 (28.0%) were found in hepatitis C patients and 6 (17.1%) were found in patients with hepatitis B and C and hepatitis B; Gallbladder lesions were found in 77 normal subjects (12.7%, P <0.05). In 416 patients with chronic hepatitis, 58 cases (13.9%) of gallbladder stones, 97 cases (23.3%) of gallbladder wall thickening and 45 cases (10.8%) of gallbladder polypoid lesions were significantly higher than those in normal control group (P <0.01) ). Conclusions Patients with chronic hepatitis are complicated with gallbladder disease. Ultrasonography is the first choice to diagnose patients with chronic hepatitis complicated with gallbladder disease.