原发性胆汁性肝硬化与病毒性肝炎肝硬化超声诊断的对比研究

Comparative study on ultrasonic diagnosis of primary bile cirrhosis and viral hepatitis cirrhosis

目的研究原发性胆汁性肝硬化、病毒性肝炎肝硬化超声诊断的价值。方法选取本院2017年10月至2018年11月收治的50例原发性胆汁性肝硬化与50例病毒性肝炎肝硬化患者作为此次研究对象,依据患者疾病性质分原发组与病毒组。两组入院后均接受超声检查,对比两组超声检查影像学征象。结果经对比发现,在肝实质回声方面比较,观察组胆管壁增强、细颗粒表现以及腹腔淋巴结肿大发生率高于病毒组,差异有统计学意义(P<0.05);同时,在肝脏形态缩小、结节增生发生率比较上,原发组低于病毒组,差异有统计学意义(P<0.05)。结论原发性胆汁性肝硬化与病毒性肝炎肝硬化患者在超声检查中均呈现显著差异,有助于临床快速辨别患者病情,制定进一步的治疗方案,故值得今后大力应用于临床诊断中。

Objective To study the value of ultrasonography in the diagnosis of primary biliary cirrhosis and viral hepatitis cirrhosis. Methods 50 patients with primary biliary cirrhosis and 50 patients with viral hepatitis cirrhosis admitted to our hospital from October 2017 to November 2018 were selected as the subjects of this study, and they were divided into primary group and viral group according to the disease nature of the patients. Ultrasound examination was performed in both groups after admission, and the imaging signs were compared between the two groups. Results Compared with the viral group, the enhancement of bile duct wall, fine granules and the incidence of abdominal lymph node enlargement in the observation group were significantly higher than those in the viral group (P<0.05). At the same time, the incidence of hepatic morphology and nodular hy- perplasia was significantly lower in primary group than that in virus group (P<0.05). Conclusion There were significant differences between the patients with primary biliary cirrhosis and those with viral liver cirrhosis by ultrasound, which is helpful to identify the patient' s condition quickly and make further treatment plan. Therefore, it is worth applying in clinical diagnosis in the future.