多普勒超声检查在酒精性肝病治疗效果评价中的价值

The clinical value of Doppler ultrasound in evaluation of the treatment outcome of alcoholic liver disease

目的 观察多普勒超声检查在酒精性肝病治疗效果评价中的价值.方法 酒精性肝病患者共212例,分别在治疗前行多普勒超声以及肝功能检查,并经戒酒、药物等治疗1个疗程后再次行超声以及肝功能检查以观察多普勒超声检查评估酒精性肝病治疗效果的敏感性.结果 212例确诊的酒精性肝病患者在治疗前经超声检出95例,检出率96.70％,其中诊断为酒精性肝炎者共51例,诊断为酒精性肝硬化者共59例,治疗后43例酒精性肝病患者中,超声影像异常共37例,检出率86.04％,其中诊断为典型酒精性脂肪肝者共9例,诊断为酒精性肝炎者共12例,诊断为酒精性肝硬化者共16例.结论 采用多普勒超声检查对患者无创,且经济方便,在治疗过程中以及随访中可多次进行检查,利于医生掌握患者病情改变情况,可作为临床上诊断酒精性肝病的首选方法.

Objective To observe the clinical value of doppler ultrasound in evaluation of the treatment outcome of alcoholic liver disease. Methods 212 patients with alcoholic liver disease were selected. Ultrasound and liver function tests were applied before and after treatment, and temperance and medicines were applied for treating. The effects were used to observe the sensitivity of ultrasound applied in evaluation the treatment outcome of alcoholic liver disease. Results Of 212 cases,95 cases were diagnosed as alcoholic fatty liver disease by ultrasound before treatment, and the detection rate before treatment was 96.70%. 51 cases were diagnosed as alcoholic hepatitis and 59 cases were alcoholic cirrhosis. After treatment, there were 37 cases had abnormal ultrasound images in 43 patients with alcoholic liver disease, and the detection rate was 86.04%. And 9 cases were diagnosed as alcoholic fatty liver disease by ultrasound, 12 cases were diagnosed as alcoholic hepatitis and 16 cases were alcoholic cirrhosis. Conclusion It was noninvasive, cheap, convenient and repeated by using doppler ultrasound, and it was conducive to grasp the change of the condition of the patients for doctors. Ultrasound could be chosen as the preferred method for diagnosis of alcoholic liver disease.