超声检测戊型病毒性肝炎胆囊变化及其临床意义

The ultrasonic imaging characteristics of gallbladder in viral hepatitis E and their clinical significance

目的 探讨戊型病毒性肝炎胆囊变化及其临床意义。方法 用AlokaSSD 12 0 0实时超声仪于戊型病毒性肝炎不同病期分别观察胆囊声像图 ,测量门静脉内经 (PVD)、脾脏厚度和脾静脉内径 (SVD )。结果胆囊炎性病变是戊型肝炎常见的一种肝外表现。按病期动态观察 ,其变化有一定的规律性 ,病程越早期 ,胆囊炎性病变越多见 ,且炎症越明显。胆囊病变的严重程度与肝功能损害的严重程度密切相关。戊型肝炎急性期可产生一过性门脉高压致门静脉扩张。随着病情的恢复 ,上述改变迅速消失 ,胆囊异常、PVD扩张恢复正常。结论本研究结果对临床医师认识这种现象、判断病情、预后及鉴别诊断均有一定的实用价值。

Objective To investigate the ultrasonic imaging characteristics of gallbladder in viral hepatitis E and their clinical significance.Methods The ultrasonic image of gallbladder,the portal vein diameter,the thick of spleen and the splenoportal vein diameter were studied in the different stage of viral hepatitis E by B-mode ultrasound.Results The inflammatory lesion of gallbladder a common was symptom in viral hepatitis E. The earlier the course of disease, the higher the incidence,and the more obvious the inflammatory affection. The more serious the liver function damage, the graver the pathologic changes. Because the temporary portal hypertension,the portal vein diameter expanded and splenomogaly occured in the acute stage of viral hepatitis E. All the changes return to normal when the patient's condition recovered.Conclusions The results is useful in calculating the occurrence and development of the disease for clinical physician.