急性病毒性肝炎胆囊声像图改变的临床意义

Ultrasound observation on the change of gallbladder in acute hepatitis

目的探讨利用胆囊声像图变化特征来判断急性病毒性肝炎病人的肝细胞损害程度。方法对115例急性肝炎病人的胆囊在急性期和治愈后进行超声检查和肝功能检测。结果病人胆囊壁B超形态改变有4型（正常型、毛糙型、增厚型、实质型），肝功能恢复正常后，90．6％（78／86）病人胆囊恢复正常或透声性明显好转，与治疗前相比有非常显著差异性（P〈0．05）。结论①急性肝炎病人胆囊异常发生率与急性肝炎分型无显著关系，而与肝功能损害程度有关。②胆囊声像图的改变可以反映ALT的高低，从而可间接反映肝脏实质细胞的损害程度。

Objective The aim of our study was to judge the severity of hepatic cell impairment in patients with acute viral hepatitis using gallbladder ultrasonography. Methods One hundred and fifteen patients with acute hepatitis were detected by ultrasound and liver functional examination in acute period and cure period. Results Patients were classified into four types according to contour variety of gallbladder （normal, rough, thick-walled, substantial）. After liver function became normal, 90.6% （78/86） gallbladder function became normal or transmission turned the better. Compared with treatment ago there was significantly difference with patient （P〈0.05）. Conclusions 1. The gallbladder abnormal rate in acute hepatitis patients has no significant relation with the types of acute viral hepatitis, and has relation with damaging of liver function. 2. The gallbladder ultrasonography may reflect the ALT and TBIL, and indirectly reflect the severity of hepatic cell impairment.