不同病理类型的酒精性肝病超声诊断价值

Diagnostic significance of ultrasonography in different pathological types of alcoholic liver disease

目的 总结 71例不同病理类型酒精性肝病的超声检查 ,分析声像图特点 ,对不同病理类型超声诊断的价值进行初步探讨。方法 患者每日饮酒精量≥ 4 0 g ,连续 5年以上 ,经病理证实 ,空腹行超声检查。 结果 酒精性脂肪肝 8例 ;酒精性肝炎 7例 ;酒精性肝纤维化 14例 ;酒精性肝硬化 3例 ;轻症酒精性肝病 2 7例 ;酒精性肝病合并慢性病毒性肝炎 12例。结论 超声检查有助于酒精性肝病的初筛 。

Objective To analyze the feature of ultrasound imaging in different pathological types of alcoholic liver disease.Methods The patients were diagnosed pathologically. They had been examined with Aloka-650/630.Results Alcoholic fatty liver, 8 cases. Alcoholic hepatitis,7cases.Alcoholic fibrosis liver,14 cases. Alcoholic cirrhosis,3 cases. Mild alcoholic liver disease,27 cases. Chronic hepatitis of the alcoholic,12 caese.Conclusions The ultrasonographic diagnoses of alcoholic fatty liver and alcoholic cirrhosis corresponded with pathology very well. Thickness of spleen was significantly different between alcoholic hepatitis and alcoholic fibrosis liver(P<0 05).It suggested that it was very important to observe splenic thickness dynamically for alcoholic liver disease. It was not appropriate to deny mild alcoholic liver disease with ultrasound for a alcoholic. Ultrasonography was thought as a good mean in the diagnosis and following up the Alcoholic liver disease.