109例乙肝肝硬化患者胆囊壁改变超声影像观察

Clinical Ultrasonic Observation to Changes of Gallbladder Wall in 109 Cirrhosis Patients Caused by HBV

目的探讨乙肝肝硬化患者胆囊壁厚度的B超显像与肝功能分级的关系。方法回顾性分析本院109例确诊为乙肝肝硬化并在我科进行B超检查的患者的病例资料,根据胆囊的厚度分为轻度组(55例)和重度组(54例)。比较两组患者肝功能Child-Pugh分级情况。结果重度组Child-Pugh肝功能分级差于轻度组,其Z=-3.261,P=0.001<0.05,差异有统计学意义,可以认为随着胆囊壁增厚程度的增加,重度组(平均秩和=64.14)肝功能差于轻度组(平均秩和=46.03)。结论利用B超显像乙肝肝硬化患者的胆囊壁增厚程度对肝功能分级、肝脏病情进展起提示作用。

Objective To investigate the relationship between gallbladder wall thickness by B ultrasonic examination and classification of liver function of liver cirrhosis.Methods Totally 109 liver cirrhosis patients in the hospital were elected and studied.According to the gallbladder wall thickness,the patients were divided into mild group(55 cases of patients) and severe group(other 54 cases).Liver function Child-Pugh classification of the two groups was compared.Results The severe group Child-Pugh classification of liver function was worse than the mild group(Z =-3.261,P = 0.001 < 0.05) with statistical difference.Conclusion The degree of gallbladder wall thickening work as an important reminder classification of liver function and disease progression of liver cirrhosis patients.