首页|彩色多普勒超声诊断慢性乙型肝炎后肝硬化患者胆囊病变的效果分析

彩色多普勒超声诊断慢性乙型肝炎后肝硬化患者胆囊病变的效果分析

Analysis of the effectiveness of color doppler ultrasonography in diagnosing gallbladder lesions in patients with liver cirrhosis post-chronic hepatitis B

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目的:探讨彩色多普勒超声对检查乙型肝炎后肝硬化胆囊病变的效果.方法:选取医院感染科收治的80例慢性乙型肝炎患者作为研究对象,其中观察组40例患者为乙型肝炎后肝硬化,对照组40例患者为普通的慢性乙肝.对两组患者均采取彩色多普勒超声检测方法,然后分析比较两组患者空腹时的胆囊的厚度、前后径以及观察组患者不同类型胆囊壁增厚的各项指标变化.结果:观察组患者的空腹胆囊壁厚度与前后径的数据均显著高于对照组患者,观察组的C级患者的空腹胆囊壁厚度与前后径的数据均明显高于观察组的A、B级患者,其差异均具统计学意义(P<0.05);双边增厚型的门静脉内径、血流量均高于单纯增厚型,差异具有统计学意义(P<0.05);血流速度相比较差异无统计学意义(P>0.05).结论:彩色多普勒超声检查能够对乙肝肝硬化的胆囊疾病患者进行有效诊断.
Objective:To investigate the effectiveness of color Doppler ultrasound in assessing gallbladder abnormalities in patients with liver cirrhosis following hepatitis B.Method:80 patients with chronic hepatitis B treated in hospital's infectious diseases department were selected for the study.The observation group consisted of 40 patients with liver cirrhosis post-hepatitis B;the control group consisted of 40 patients with general chronic hepatitis B.Both groups underwent color Doppler ultrasound examinations.The thickness and anterior-posterior diameter of the gallbladder when fasting,as well as changes in various indicators of gallbladder wall thickening in the observation group were analyzed and compared.Results:The fasting gallbladder wall thickness and anterior-posterior diameter in the observation group were significantly higher than those in the control group.The data for grade C patients in the observation group were significantly higher than those for grades A and B patients,with statistically significant differences and trends(P<0.05).In bilateral thickening type,the inner diameter and blood flow volume of the portal vein were higher than those in the simple thickening type,also showing statistically significant differences(P<0.05).However,the differences in blood flow speed were not statistically significant(P>0.05).Conclusion:Color Doppler ultrasound is effective in diagnosing gallbladder diseases in patients with liver cirrhosis due to hepatitis B.

post-hepatitis B liver cirrhosisgallbladder abnormalitiescolor doppler ultrasound

王素莹、孔丽丽

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滁州市第二人民医院 安徽滁州 239000

慢性乙型肝炎肝硬化 胆囊病变 彩色多普勒超声

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(2)
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