高频超声在华支睾吸虫性胆管炎诊断中的应用价值

Application value of High-frequency ultrasound in Clonorchiasis Cholangitis Diagnosis

目的:探讨高频超声在华支睾吸虫性胆管炎末梢胆道改变的应用价值。方法:回顾性分析293例急性华支睾吸虫性胆管炎高频超声下肝末梢胆管图像特征。结果:293例华支睾吸虫性胆管炎患者,按食生鱼史5年以内、5～10年、11～15年、16～20年、超过20年以上分组,肝包膜下小囊样改变出现率分别为8.7%(2/23)、10.9%(5/46)、20.9%(9/43)、35.0%(20/57)、58.0%(72/124)。结论:肝包膜下末梢胆管局灶性小囊样扩张是华支睾吸虫性胆管炎特征表现,并与其感染程度相关,运用高频探头检测,能更好地显示末梢胆管声像改变,有助于华支睾吸虫胆管炎的诊断。

Objective To investigate the diagnostic value of high-frequency ultrasound in peripheral biliary cholangitis in Clonorchis sinensis. Methods A retrospective analysis of 293 cases of high-frequency ultrasound image characteristics of liver distal bile duct in acute Clonorchiasis Cholangitis.Results 293 cases were separated 5 group depended on food history of raw fish：less than 5 years,5 - 10 years,11 - 15 years, 16 - 20 years,more than 20 years.The occurrence rate of small cystic beneath the liver capsule was 8.7% （ 2/23 ） ,10.9% （ 5/46 ） ,20.9%（9/43）,35.0%（20 /57）,58.0%（72/124）.Conclusion The characteristic of the Clonorchiasis Cholangitis was small cystiform dilation of peripheral biliary beneath the liver capsule and with the extent of infection levels,The high-frequency probe can better show the distal bile duct,help of Clonorchis cholangitis diagnosis.