高原世居藏族肝硬化患者超声检查分析

Ultrasonic analysis on cirrhosis of tibetan patients in high plateau

目的总结高原世居藏族肝硬化患者超声检查特点。方法对高原世居、经临床确诊的藏族居民肝硬化患者超声检查表现为典型的晚期肝硬化肝脏改变、门静脉增宽及血流速度减低、腹水、合并原发性肝脏实质性肿块、胆囊疾病、脾脏肿大发现率进行统计分析。结果典型的晚期肝硬化声像图表现占84.54%,门静脉增宽及血流速度减低占55.45%,腹水占65.45%,合并肝实质性肿块占21.82%,胆囊疾病占66.36%,脾脏肿大占43.68%。结论高原世居藏族肝硬化患者病情严重典型比例较大,合并胆囊疾病者较多,合并脾脏肿大者较少,这些情况可能与高原环境和生活习惯有关。

Objective To study ultrasonic characteristics of cirrhosis of the liver in Tibetan patients. Methods To identify the occurrence rates of typical advanced cirrhosis, changes of liver, portal hypertension and obstruction of blood flow, aseites, combined primary diagnose tumor, gallbladder dysfunctions, splenomcgaly for clinically diagnosed patients with cirrhosis. Results Typical advanced cirrhosis occured at 84.54% , portal hypertension and obstruction of blood flow were at 55. 45 % , ascites was at 65.45 % , combined primary diagnose tumor occured at 21.82% , gallbladder dysfunctions was at 66.36% and splenomegaly was at 43.68%. Conclusion Cirrhosis patients rate higher sever complications, more combined gallbladder dysfunctions but less combined splenomegaly. The occurrences are likely related to the environment of high plateau and lifestyle.