65例临床疑似华支睾吸虫病的超声诊断分析及评价

The analysis and evaluation of ultrasonography diagnosis of 65 suspected clonorchiasis

目的探讨超声检查用于华支睾吸虫病的诊断效果,为该病的临床诊断提供依据。方法收集华支睾吸虫疑似患者65例,采用东芝240型超声诊断仪(探头频率3.75MHz)行肝胆系统各切面连续扫查,详细观察及分析华支睾吸虫病的肝胆道系统的声像表现。结果 65例疑似患者中有45例经粪检和手术确诊为华支睾吸虫病患者,确诊的45例中有38例超声检查肝胆系统有特异性改变,表现为肝内中小胆管弥漫性轻度扩张,管壁不均匀性增厚,回声增强,不同切面呈现小点状、小等号状、斑状、条索状等强回声。超声诊断方法的敏感性为84.44%,特异性为58.46%。结论超声检查方法简单、易操作,对辅助提高华支睾吸虫病的诊断具有重要的临床意义。

Objective To investigate the application value of the ultrasonography method for the diagnosis of Clonorchis sinensis,providing the basis for the clinical diagnosis of the disease.Methods 65 suspected clonorchiasis patients were collected.Toshiba 240-type ultrasonic diagnostic apparatus was used for biliary system section continuous scanning,with the probe frequency 3.75 MHz line.The hepatobiliary tract audiovisual performance of was detailedly observed and analyzed.Results Of 45 clonorchiasis patients diagnosed by fecal examination and operation,38 cases were found specific changes in the hepatobiliary system by ultrasounography.The intrahepatic small bile duct was showed diffuse mild expansion,wall in homogeneity thickening and echogenic different section presented small punctate hyperechoic,small equal sign,porphyritic and cord-like.The sensitivity and specificity of ultrasound diagnostic method were 84.44% and 58.46%,respectively.Conclusion Ultrasonography diagnosis method is easy to apply,which could improve the auxiliary diagnosis of clonorchiasis and play an important clinical significance.