戊型病毒性肝炎胆囊壁的声像图变化

Ultrasonography of gallbladder in hepatic E viral hepatitis

目的探讨戊型病毒性肝炎胆囊变化及其临床意义。方法62例戊型病毒性肝炎不同病期分别观察胆囊声像图,测量门静脉内径、脾脏厚度和脾静脉内径。结果胆囊炎性病变是戊型肝炎常见的一种肝外表现。按病期动态观察,其变化有一定的规律性。病程越早期,胆囊炎性病变越多见,且炎症越明显。胆囊病变的严重程度与肝功能损害的严重程度密切相关。戊型肝炎急性期可产生一过性门脉高压致门静脉扩张。随着病情的恢复,上述改变迅速消失。胆囊异常、门静脉内径即扩张恢复正常。结论本研究结果对临床医师判断病情、预后及鉴别诊断均有一定的实用价值。

Objective To discuss ultrasonographic features of gallbladder in hepatic E viral hepatitis and its clinical value. Methods Ultrasonography of gallbladder, diameter of the portal and splenic veins and thickness of the spleen were investigated in 62 cases of hepatic E viral hepatitis with different stages. Results Inflammatory change of gallbladder was common in viral E hepatitis. There was a regular pattern of the gallbladder changes in different stages of hepatitis. The earlier the course of hepatitis, the higher the incidence of inflammatory gallbladder, and the more obvious the inflammation. There was a close correlation between the severity of gallbladder inflammation and liver dysfunction. Dilatation of the portal vein might occur in the acute stage due to temporary portal hypertensions. All changes of the gallbladder and the diameter of portal vein returned to normal as the recovery of hepatitis. Conclusion The results is helpful for clinical physician to decide the stage and prognosis and differential diagnose viral E hepatitis.