超声检查胆囊壁改变在急性黄胆型肝炎中的临床价值

Value of B-mode Ultrasonography for Alteration of Gallbladder Wall in Acute Icterohepatitis

目的评价超声检查胆囊壁改变在急性黄胆型肝炎中的临床意义。方法对99例经临床证实急性黄胆型肝炎常规进行超声检查,并测量胆囊壁厚度,胆囊腔的大小。结果本组99例,89例出现胆囊壁改变占89.9%,表现为胆囊壁增厚,胆囊腔缩小,随着病情的好转,胆囊壁也逐渐恢复正常。结论胆囊壁改变是急性黄胆型肝炎的一种肝外表现,超声检查对急性黄胆型肝炎诊断,鉴别诊断,治疗效果的判断、预后均有一定的参考价值。

Objective To study the value of the alteration of gallbladder wall in the diagnosis of acute icterohepatitis.Methods A total of 99 patients with clinically confirmed acute icterohepatitis were examined with B-mode ultrasonography to detect the gallbladder wall thickness and the size of the cavity and the results were analyzed statistically.Results The alteration of the gallbladder wall occurred in 89 cases (89.9%) with manifesting as wall thickening and as narrowlny of cavity space.The gallbladder wall restored to normal gradually along with the recovery of the disease.Conclusions The alteration of the gallbladder is a kind of extrahepatic manifestation of acute icterohepatitis.The alteration of gallbladder wall on B-mode Ultrasonography is of definite value in diagnosis,differential diagnosis,judgment of therapy effect and prognosis of acute icterohepatitis.