病毒性肝炎合并胆囊病损的探讨——附122例报告

A Preliminary Approach to the Lesion of Gallbladder in Viral Hepatitis: A Study of 122 Cases

对193例病毒性肝炎患者进行B超检查,发现合并胆囊病损者122例,发生率为63.2％,其中重症型肝炎占100.0％,慢迁肝占44.4％。对合并胆囊病损者进行B超追踪观察,提示胆囊病变可能系肝炎的继发性损害,且有助于了解肝病的演变和判断预后。本文对病毒性肝炎合并胆囊病损的发病机理进行了探讨。

193 patients with viral hepatitis were observed by B mode ultrasound. 102 (63.2%) of these patients had abnormal gallbladder sonographic pattern, which had the highest prevalence in severe hepatitis, and the lowest in chronic persistent hepatitis. Repeated B mode ultrasound observations of 94 patients with abnormal gallbladder sonography suggest that these gallbladder lesions might be damages secondary to viral hepatitis. This article also discusses the pathogenesis of thy gallbladder lesions in viral hepatitis.