178例肝硬化患者胆囊壁声像图临床分析

The clinical analysis of cholecyst cliff ultrasonography in 178 patients with hepatocirrhosis

观察分析肝硬化患者胆囊壁声像图变化及其影响因素。采用超声观察178例肝硬化患者的胆囊壁厚度 和腹水检查、门静脉宽度、血清白蛋白(ALB)水平、总胆红素(TBil)水平以及门冬氨酸氨基转移酶(AST)、丙氨酸氨基 转移酶(ALT)水平。发现肝硬化患者胆囊壁厚度与AST、ALT及TBil无相关性(P>0．05),与ALB呈负相关(P< 0．05),与门脉宽度呈正相关(P<0．05),与有无腹水呈明显正相关(P<0．01),并且发现伴大量腹水者,胆囊壁增厚 呈双边征(P<0．001)。肝硬化患者如ALB下降、门脉增宽尤其伴腹水者胆囊壁增厚,伴大量腹水者,胆囊壁出现双 边征。

Observe and analyze the change of the cholecyst cliff ultrasonic in the patients with hepatocirrhosis and it＇ s influencing complication. Using ultrasonic to measure the thickness of the cholecyst cliff in these patients. At the same time, we measure their breadth of the portal vein and the level of the ascites, and examine the level of ALB,TBiI,AST,ALT in blood serum, Then we find that the thickness of the cholecyst cliff has no relationship with AST, ALT and TBiI（ P 〉 0.05）. The thickness of the cholecyst cliff has negative correlation with ALB （ P 〈 0.05）. The thickness of the cholecyst cliff has positive correlation with the breath of the portal vein （ P 〈 0.05）. We can find that the cholecyst cliff much thicker in the patients with ascites than the patients without ascites （P〈0.01）. In the patients with a great deal of ascites, we can find the double boder sign though the ultrasonic （P 〈 0.001）.