腹部超声对肝豆状核变性的诊断价值

Diagnosis Value of Adminal Ultrasound in Hepatolenticular Degeneration

目的分析肝豆状核变性患者肝胆脾等腹部脏器声像图特点,探讨超声检查对肝豆状核变性的诊断价值。方法回顾性分析41例肝豆状核变性患者的腹部超声声像资料,总结其声像图特点。结果 41例肝豆状核变性患者均有肝脏回声异常,脂肪变5例,类似脂肪肝声像;回声增粗型17例,呈"光点闪烁征"、"树枝光带征"或"岩层征";结节硬化型1 9例,表现为颗粒状高回声结节改变,伴有肝内管系结构紊乱;3例患者伴有肝大;28例患者胆囊声像图异常,表现为胆囊壁增厚、胆囊内胆汁淤积、胆囊结石;25例患者有脾大表现;17例患者出现腹水。结论肝豆状核变性患者均有明显的肝胆脾等腹部脏器声像图改变,超声检查可为该病的早期诊断提供形态学上的依据。

Objective To analyze the adminal sonographic features of hepatolenticular degeneration and to investigate the diagnosis value of ultrasound examination in Wilson＇s disease.Methods A retrospective analysis was carry out of the abdominal ultrasonography in patients with hepatolenticular degeneration,and the sonographic characteristic was summarized.Result In 41 patients of hepatolenticular degeneration,5 patients showed fatty liver,17 patients showed increased echogenicity,19 patients showed cirrhosis nodus,companied by branche or net like enhanced;3 patients showed hepatomegaly;there were 28 patients with abnormal gallbladder;there were 25 patients with plenomegaly;there were 17 patients with ascites.Conclusion There was indentified ultrasonic abdominal organs changed in the patients of hepatolenticular degeneration,ultrasound examination can provide the morphologic basis in early diagnosis.