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用B超观察386例各型肝炎病人的胆囊变化,发现胆囊变化以GWB增厚毛糙为主,其次为胆囊增大、双环影,少数为实变、变小及泥沙样变。肝脏病变愈重,其胆囊异常率愈高。AH胆囊异常易在短期内恢复正常,而CH胆囊异常不易在短期内恢复正常,AH、CH中的胆囊实变、泥沙样变及边界不清现象易在短期内消失。HC病人腹水消退后,GWB厚度减轻。肝炎伴胆囊异常者,有少数感胆囊区饱胀或不适,极少数胆囊异常有压痛或引起疼痛。并对肝炎引起胆囊变化的原因作了分析。
The changes of gallbladder in 386 patients with various types of hepatitis were observed by B-mode ultrasonography and found that the changes of gallbladder were dominated by GWB thickening, followed by gallbladder enlargement and double-loop shadow. A few were solidified, smaller and sediment-like. The more severe liver disease, the higher the abnormal rate of gallbladder. AH gallbladder abnormalities easy to return to normal in the short term, and CH gallbladder abnormalities are not easy to return to normal in the short term, AH, CH in gallbladder consolidation, sediment-like changes and border ill-defined phenomena disappear in the short term. GW patients with ascites subsided, GWB thickness reduced. Hepatitis with gallbladder abnormalities, a small number of sensed gallbladder area fullness or discomfort, very few gallbladder abnormal tenderness or cause pain. The causes of hepatitis gallbladder changes were analyzed.