超声诊断华支睾吸虫病的临床意义探讨

Ultrasound Diagnosis of Clonorchiasis and Its Clinical Significance

目的探讨超声诊断华支睾吸虫病的临床意义。方法通过对华支睾吸虫病超声声像图诊断分析与粪便查虫卵作对照。结果61例华支睾吸虫病患者,有53例(占86.9%)超声检查肝胆系统有特异性改变。肝内中、小胆管弥漫性轻度扩张,管壁不均匀性增厚,回声增强,不同切面呈现小点状、小等号状、斑状、条索状等形态各异的强回声,后方无声影。结论超声检查可作为华支睾吸虫病的快捷而准确的影像学首选诊断方法,具有重要的临床实用价值。

Objective To evaluate the value of ultrasonic diagnosis in clinical clonorchiasis.Methods Ultrasound images of the livers and gallblanders of the patients suffered from clonorchiasis were analyzed and the results were compared with fecal eggs test. Results Characteristic changes of liver and chalecysts images were seen in 53（86.9%） patients. These included the diffusely enlargement of hepatic bile ducts, asymmetrical incrassatiun of the duct wall, and enhancement of echoes with the signs of dots, shaft equal marks, spots and stripes in different sections. Conclusion Owing to the clarity and accuracy, ultrasound diagnosis may be used clinically for the diagnosis of clonorchiasis.