超声诊断肝硬化分级与肝穿刺结果的比较

Ultrasound Diagnosis of Cirrhosis Grading and Liver Biopsy Results

目的分析研究肝硬化患者(代偿性)超声检测以及肝穿病理检查的临床意义。方法对我院自2008年11月至2011年11月以来,于我科检查的224例肝硬化患者(代偿性)临床影像学资料进行回顾性分析。对患者超声下肝脏的形态以及回声的结果,和患者肝脏的穿刺病理进行对比。结果患者超声检查均提示,肝脏的大小以及形态基本呈正常,其表面多呈光滑或者呈欠光滑,但边缘多变钝;同时肝脏的回声呈显著增粗,出现条索状并伴有少量的结节,其分布多不均匀,并且肝内的管道走行多不清晰;患者门脾静脉的内径基本呈正常,多数脾脏呈增大。患者经超声检查被确诊的有156例,约69.64%;经肝穿病理检查被确诊的有130例,约58.03%,被两种检查均确诊的有108例,约48.80%,其差异呈显著性(P<0.01)。其中50例原发性的胆汁淤积所致肝硬化患者,经B超诊断,46例系慢性的肝损害,仅4例系代偿性的肝硬化,经病理检查,患者均系原发性的胆汁淤积所致肝硬化。结论对肝硬化患者(代偿性)应用超声检查,不仅无创方便,而且准确性也较高,能够作为临床检查的首选方法。

Objective Analysis of patients with cirrhosis（decompensate） ultrasonic testing,and clinical significance of transhepatic pathology.Methods Retrospective analysis of clinical imaging data of the hospital since November 2008 to November 2011,our department to check the 224 patients with cirrhosis（decompensate）.Form of the liver in patients with ultrasound and echo the results,and patients with liver biopsy.Results Ultrasonography in patients with prompt,the size and morphology of the liver was normal,the surface mostly smooth,or was less smooth,but the edge of the changing blunt;the echo of the liver was significantly thickened streak and with a small knotsection,more than its distribution is uneven,and the liver pipeline running is not clear;the inner diameter of the splenic vein of patients with door basically was normal,the majority of the spleen was increased.Patients have been diagnosed by ultrasound examination in 156 cases,69.64%;liver biopsy pathology was diagnosed in 130 cases,about 58.03%,both tests have confirmed 108 cases,about 48.80%,the difference was significant（P0.01）.Which caused 50 cases of primary biliary cholestasis in patients with cirrhosis,by B ultrasound diagnosis and 46 cases of chronic liver damage,only four cases of a compensatory cirrhosis by pathological examination,the patients were the department of primary cholestasis caused by liver cirrhosis.Conclusion（Compensatory） the application of ultrasound in patients with cirrhosis,noninvasive convenient,and higher accuracy,can be used as the preferred method of clinical examination.