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作者采用灰阶超声检查术(gray-scale ultrasonography)检查了31例(男性26例、女性5例,平均年龄30岁)不伴有胆结石、腹水和胰腺疾病的急性传染性肝炎患者和23例(男性13例、女性10例,平均年龄28岁)健康对照者的胆囊,对急性传染性肝炎时胆囊的异常改变进行一次前瞻性对照研究。禁食一夜,翌日上午用5-MHz探头探测胆囊壁(GBW)及胆囊内容物。以超声束垂直于胆囊前壁所测得的数据为GBW的厚度。在超声波检查的24～48小时内,采血测定血清丙氨酸转氨酶(ALT)及乙型肝炎表面抗原、甲型肝炎抗体、巨细胞病毒、E-B病毒。结果 GBW厚度对照组为2.0±0.06mm,肝炎组为5.16±0.4mm(P<0.001)。有21例(68%)
The authors examined 31 patients (26 males, 5 females, mean age 30 years) of acute infectious hepatitis without gallstone, ascites and pancreatic disease using gray-scale ultrasonography and 23 patients (13 males and 10 females with a mean age of 28 years), a prospective, controlled study of gallbladder abnormalities in patients with acute infectious hepatitis was performed. Fasting overnight, the next day with a 5-MHz probe to detect gallbladder wall (GBW) and gallbladder contents. The data measured with an ultrasound beam perpendicular to the gallbladder anterior wall is the thickness of GBW. Serum alanine aminotransferase (ALT), hepatitis B surface antigen, hepatitis A virus, cytomegalovirus and E-B virus were determined by blood sampling 24 to 48 hours after the ultrasound examination. Results The thickness of GBW was 2.0 ± 0.06mm in control group and 5.16 ± 0.4mm in hepatitis group (P <0.001). There were 21 cases (68%)