酒精性肝硬化与肝炎肝硬化应用彩超的鉴别诊断分析

Differential Diagnosis of Alcoholic Liver Cirrhosis and Hepatitis B With Color Doppler Ultrasonography

目的探讨彩超鉴别诊断酒精性肝硬化与肝炎肝硬化的价值。方法 A组所选研究对象为2011年12月—2016年12月健康体检过程中收治的65例酒精性肝硬化患者,B组为同期收治的68例肝炎肝硬化患者。两组均实施彩超检查,分析检查结果。结果两组右肝斜径、右肝厚径差异有统计学意义(P<0.05);两组肝被膜锯齿状、不规则回声增高、回声弥漫性增强、形态正常率差异有统计学意义(P<0.05)。结论酒精性肝硬化与肝炎肝硬化鉴别诊断中,彩超的应用价值较高。

Objective To investigate the value of color doppler ultrasonography in differential diagnosis of alcoholic cirrhosis and hepatitis cirrhosis. Methods 65 patients with alcoholic cirrhosis admitted in our hospital from December 2011 to December 2016 was selected into group A, 68 patients with hepatitis cirrhosis admitted concurrently into group B, both with color Doppler ultrasonography, the results being analyzed. Results There was significant difference between the two groups in the right hepatic oblique diameter and right hepatic thickness （P 〈 0.05）. The two groups were significantly different in jagged hepatic capsule, irregularly high echo, diffuse enhancement, and normal morphology （P 〈 0.05）. Conclusion The color doppler ultrasonography in differential diagnosis of alcoholic cirrhosis and hepatitis cirrhosis is high practical value.