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目的:对比原发胆汁性肝硬化与病毒性肝炎肝硬化超声诊断情况,以期为临床上更好对两种疾病进行诊断,提高治疗效果。方法:选取2011年1月~2014年5月期间收治的原发性胆汁肝硬化和病毒性肝炎肝硬化患者61例,通过对其超声诊断结果进行总结分析,对比二者超声征象之间区别。结果:原发性胆汁性肝硬化超声诊断时胆管壁增强,细颗粒状回声以及腹腔淋巴结肿大发生率明显高于病毒性肝炎患者,结果表明差异有统计学意义(P<0.05);而肝脏缩小及肝实质回声呈弥漫性结节状增生发生率要低于病毒性肝炎肝硬化患者,差异显著(P<0.05)。结论:超声诊断可以发现原发性胆汁性肝硬化患者与病毒性肝炎肝硬化患者之间区别,可作为临床上诊断原发性胆汁性肝硬化与病毒肝炎性肝硬化的诊断依据。
Objective: To compare the diagnosis of primary biliary cirrhosis and cirrhosis caused by viral hepatitis with a view to better clinical diagnosis of both diseases and improve the therapeutic effect. Methods: Sixty-one patients with primary biliary cirrhosis and cirrhosis due to viral hepatitis were selected from January 2011 to May 2014. The ultrasound findings of the patients were compared and analyzed. The differences between the two groups were compared. Results: The ultrasound diagnosis of primary biliary cirrhosis, bile duct wall enhanced, fine granular echogenic and abdominal lymph nodes were significantly higher incidence of viral hepatitis patients, the results showed that the difference was statistically significant (P <0.05); while the liver The incidence of diffuse nodular hyperplasia of patients with reduced and substantial parenchymal echoes was significantly lower than that of patients with viral hepatitis and cirrhosis (P <0.05). Conclusion: The difference between ultrasound diagnosis of patients with primary biliary cirrhosis and patients with viral hepatitis and cirrhosis can be used as a basis for the diagnosis of primary biliary cirrhosis and viral hepatitis cirrhosis.