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目的了解慢性病毒性肝炎胆囊壁声像图变化与肝组织病变类型的关系。方法收集２９６例经病理检查确诊的慢性肝炎，将其胆囊壁声像图的改变与肝组织病变类型的变化规律进行对比分析。结果Ｂ超检测慢性肝炎胆囊壁总异常率为５６７６％，其中轻度（１０４／２１１）占４９２８％，中度（７０／７５）９３３３％，重度（１０／１０）１００％。慢性肝炎中度、重度与轻度组经χ２检验Ｐ＜００１、Ｐ＜００５，有显著性差异。胆囊壁厚度与肝脏病理变化的对比显示，胆囊壁厚度逐渐增加，肝脏病理损害也随之加重。轻度与中度组经ｔ检验Ｐ＜００１；轻度与重度组Ｐ＜００１；重度与中度组Ｐ＜００１。结论胆囊壁声像图厚度变化对慢性病毒性肝炎的临床分型、判断病情具有很重要的参考价值。
Objective To investigate the relationship between the changes of gallbladder wall ultrasonography and the types of liver lesions in patients with chronic viral hepatitis. Methods A total of 296 cases of chronic hepatitis diagnosed by pathology were collected, and their changes of the gallbladder wall were compared with those of liver lesions. Results The total abnormal rate of gallbladder wall in chronic hepatitis B was 5676%, of which 4928% was mild (104/211), 9333% (70/75) moderate, (10/10) 100 %. Chronic hepatitis moderate, severe and mild group by χ2 test P <0 01, P <0 05, a significant difference. Comparison of gallbladder wall thickness and liver pathological changes showed that the gallbladder wall thickness gradually increased, liver pathological damage also will be aggravated. P <001 in mild and moderate groups, P <001 in mild and severe groups, and P <001 in severe and moderate groups. Conclusion The thickness of the gallbladder wall of the ultrasonography of chronic viral hepatitis clinical classification, to determine the condition has very important reference value.