石家庄地区乙肝病毒感染与肝、胆B超影像学分析

Hepatitis B virus infection and liver,gallbladder imaging analysis of B-mode ultrasonography in Shijiazhuang

目的分析石家庄地区乙肝病毒感染者肝胆B超影像学检查结果,为该地区乙肝病毒感染患者肝胆疾病防治及诊断提供参考。方法选取石家庄地区三家医院的乙肝病毒感染患者500例作为研究对象,所有患者均完整保留了肝功能检查资料和肝胆B超检查资料,对其肝功能检测结果和肝胆B超影像学检测结果进行分析。结果 500例乙肝病毒感染患者中,丙氨酸氨基转移酶(ALT)升高率22.4%;腹部B超诊断出肝囊肿患者占5.4%,肝脓肿患者占2.2%,脂肪肝患者占8.4%,原发性肝癌患者占1.4%,继发性肝癌患者占1.2%,肝硬化患者占1.0%。结论 B超检测结果中,患有脂肪肝、肝硬化、肝脓肿的患者肝功能检测结果 ALT升高比例较高,提示在对乙肝病毒感染患者的肝功能检测中ALT升高者应重视B超检查,重点关注患者是否出现肝硬化、脂肪肝及肝脓肿。

Objective To analyze the hepatitis B virus infected patients＇ B-ultrasound hepatobiliary imaging and provide a reference for infection prevention and diagnosis of hepatobiliary disease in the region of Shijiazhuang.Methods In three hospitals of Shijiazhuang,500 cases of hepatitis B virus infected patients were enrolled in the study.All patients had intact liver function test data and hepatobiliary B-ultrasound information,and their liver function test results and hepatobiliary B-ultrasound imaging test results were analyzed.Results Among 500 cases of patients with hepatitis B virus infection,22.4% patients were with alanine aminotransferase（ALT）increasing,diagnosed by using B-mold ultrasonography 5.4% patients with a liver cyst,2.2% with liver abscess,8.4% with fatty liver,1.4% with primary liver cancer percent,1.2% with secondary liver cancer,1.0% with cirrhosis.ConclusionThe liver function test of patients suffering from fatty liver,cirrhosis,liver abscess shows higher proportion of ALT increasing,which suggests that in patients with hepatitis B virus infection whose liver function tests display ALT elevations should underwent B ultrasonic examination and doctors should focuse on if the patient with cirrhosis,fatty liver or liver abscess.