慢性乙型肝炎的超声检查及其临床意义

Ultrasonic examination of chronic hepatitis B and its clinical significance.

目的探讨超声检查对慢性乙型肝炎诊断的意义。方法回顾性分析1013例慢性乙型肝炎的超声图像表现及特征并对其临床意义进行分析。结果超声诊断异常172例,占受检人数的16.98%。慢性乙型肝炎超声主要表现为肝内光点增多增粗55例,脂肪肝38例,胆系结石27例,肝囊肿5例,肝血管瘤3例,肝硬化10例,肝癌5例,胆囊息肉21例,脾大16例,脾囊肿1例。结论通过B超检查能使一些早期无症状的疾病及时发现,并对患者有计划地进行早期监测、定期随诊、及时治疗,可提高慢性乙型肝炎患者的生命质量。

Objective To investigate the significance of ultrasonic scanning for diagnosis of hepatitis B, Methods The results of ultrasonic examination of 1 013 hepatitis B patients and its clinical significance were retrospectively analyzed. Results Abnormality was observed in 172 patients accounted for 16,98% of the patients diagnosed with ultrasonography. The main manifestations of the patients examined with ultrasonography were observed as the follows ： light - spot increase and became thick in liver occurred 55 cases, fatty liver was observed in 38 cases, gallstone occurred to 27 cases, hepatic cyst occun＇ed to 5 cases, hepatic hemangioma occurred to 3 cases, liver cirrhosis occurred to 10 cases, hepatic carcinoma occurred to 5 cases, polyp of gallbladder occurred to 21 cases, splenomegaly was observed in 16 cases and cyst of spleen occurred to 1 case. Conclusion Ultrasonic scanning can detect some illnesses without symptoms at early stage, and early monitoring, regular follow - up and timely treatment of the patients would improve the living quality for the patients with chronic hepatitis B.