肝炎肝硬化和酒精性肝硬化的B超表现比较

Comparison of B-mode ultrasonography manifestations between hepatitic cirrhosis and alcoholic cirrhosis

目的比较肝炎肝硬化和酒精性肝硬化的B超表现,为临床工作提供参考。方法收集2007年1月1日至2008年12月31日入住温州医学院附属第三医院肝硬化患者的B超资料,回顾性分析比较其B超表现特点。结果酒精性肝硬化患者肝脏肿大的比例高于肝炎肝硬化患者,差异有统计学意义(P<0.001),但二者肝脏缩小比例差异无统计学意义。酒精性肝硬化患者肝脏表面光滑的比例较高而呈锯齿状的比例较低,与肝炎肝硬化患者比较差异均有统计学意义(P=0.015和P=0.027)。酒精性肝硬化患者肝内明显可见结节的比例低于肝炎肝硬化患者,二者差异有统计学意义(P=0.009)。门静脉宽度比较2组均数差异无统计学意义(P=0.581)。结论与肝炎肝硬化患者比较,酒精性肝硬化患者肝右叶斜径增大的比例较高,表面较光滑而较少出现锯齿状,发现粗大不规则结节的比例较低,而门静脉内径二者无差异。

Objective To Compare B-mode ultrasonography manifestations between hepatitic cirrhosis and alcoholic cirrhosis,and provide a reference for clinical pratice.Method The information of B-mode Ultrasonography manifestations in patients with cirrhosis were collected and retrospectively analyzed,who hospitalized in the Third Affiliated Hospital of Wenzhou Medical College.Result Patients with alcoholic cirrhosis had a higher proportion of hepatomegaly than those with hepatitic cirrhosis,and there was significant difference between them（P0.001）.However,there were not significant difference in liver reduction.Compared to patients with hepatitic cirrhosis,patients with alcoholic cirrhosis had a higher proportion of liver with smooth surface but a lower proportion of liver with serration surface,both shown significant difference（P=0.015 and P=0.027）.Besides,Patients with alcoholic cirrhosis had a higher proportion of liver with nodules in evidence,which also shown significant difference（P=0.009）.Concerning breadth of portal vein,there′s no statistical significance between the two groups（P=0.581）. Conclusion Compare to patients with hepatic cirrhosis,patients with alcoholic cirrhosis have a higher proportion of enlargement in oblique diameter in right lobe and smoothing surface of liver,as well as lower proportion of liver with serration surface or thickening-irregular nodules,however,no statistical significance shows between them about breadth of portal vein.