彩超在酒精性肝硬化与肝炎肝硬化鉴别诊断中的应用价值

The Value of Color Doppler Ultrasound in the Differential Diagnosis of Alcoholic Cirrhosis and Hepatitis Cirrhosis

目的 评价彩超在酒精性肝硬化与肝炎肝硬化鉴别诊断中的应用价值.方法 选择我中心2013年3月-2015年2月收治的82例酒精性肝硬化患者作为酒精组,选择同期收治的80例肝炎性肝硬化患者作为肝炎组,比较两组彩超检测值以及肝部的形态、体积等情况.结果 与肝炎组比较,酒精组右肝斜径、右肝厚度、肝脏形态正常率以及肝脏体积增大率均增高,P〈0.05,差异具有统计学意义;肝炎组肝被膜锯齿状以及肝内回声不规则的发生率高于酒精组,P〈0.05,差异具有统计学意义.结论 彩超在诊断及鉴别酒精性肝硬化与肝炎肝硬化方面具有临床应用价值.

Objective To evaluate the value of color doppler ultrasound in the differential diagnosis of alcoholic cirrhosis and cirrhosis.Methods Selected 82 cases of alcoholic liver cirrhosis patients were used as the alcohol group, 80 cases of hepatitis cirrhosis patients form March 2013 to February 2015 in our center were used as hepatitis group. The ultrasound detection value and liver morphology, size were compared between the two groups. Results Compared with hepatitis group, the right liver oblique diameter, right thickness of the liver, liver morphological normal rate and liver volume rate of the alcohol group were increased,P〈0.05, had difference statistically signiifcance. Liver membrane jagged and liver echo of irregular occurrence rate of the hepatitis group was higher than that of the alcohol group,P〈0.05, had difference statistically signiifcance.Conclusion Color doppler ultrasound has important clinical value in diagnosis and differential diagnosis of alcoholic cirrhosis and hepatitis B cirrhosis.