摘要
目的比较肝炎肝硬化与酒精性肝硬化的B超影像学特征差异,为临床工作者鉴别、诊治肝炎肝硬化和酒精性肝硬化提供科学依据。方法收集2010年1月—2016年1月在该院确诊且病例完整的酒精性肝硬化患者70例,另收集同期在该院住院接受治疗的肝炎肝硬化患者150例,比较两组一般资料(性别、年龄、病程等)、临床症状表现与体征(腹胀、肝区疼痛、肝病面容、肝掌、腹泻等)、B超影像学特征(门静脉内径、肝脏体积、弥漫性回声增强、肝斑片状不均匀回声与肝被膜锯齿状变)。结果①与肝炎肝硬化患者相比,酒精性肝硬化男性患者比例92.9%要明显高于肝炎肝硬化组的男性比例80.0%(P<0.05)、平均年龄(53.1±4.2)岁要比肝炎肝硬化患者平均年龄(58.7±4.5)岁小,差异有统计学意义(P<0.05),且平均病程(23.2±1.5)年要明显短于肝炎肝硬化患者平均病程(35.3±2.4)年,差异有统计学意义(P<0.05);②与肝炎肝硬化组患者比较,酒精性肝硬化组患者在肝病面容、肝大、肝掌以及双下肢水肿这几个方面的症状表现上更为突出,差异有统计学意义(P<0.05);③酒精性肝硬化组患者肝脏体积增大、弥漫性回声增强、肝表面光滑发生率要明显大于肝炎肝硬化组患者,差异有统计学意义(P<0.05),而酒精性肝硬化组患者肝脏体积缩小、肝被膜锯齿样改变、实质斑片状不均匀回声、肝表面锯齿状以及粗大不规则结节发生率要明显小于肝炎肝硬化组患者,差异有统计学意义(P<0.05);④和肝炎肝硬化组患者比较,酒精性肝硬化组患者无论是右肝斜径还是右肝厚度都有明显的提高,差异有统计学意义(P<0.05);⑤两组患者间门静脉内镜比较差异无统计学意义(P>0.05),酒精性肝硬化组患者脾脏厚度要明显高于肝炎肝硬化组患者,差异有统计学意义(P<0.05)。结论酒精性肝硬化患者男性居多,主要表现为肝脏体积增大,而肝炎肝硬�
Objective To compare the difference in ultrasound B images of hepatitis liver cirrhosis and alcoholic liver cirrhosis and provide scientific basis for the differential,diagnosis and treatment of hepatitis liver cirrhosis and alcoholic liver cirrhosis of clinical workers.Methods 70 cases of patients with alcoholic liver cirrhosis with complete data diagnosed in our hospital from January 2010 to January 2016 were selected and 150 cases of patients with hepatitis liver cirrhosis treated in our hospital at the same period were collected,and the general data(gender,age and disease course),clinical symptom manifestations and body signs(abdominal distension,liver pain,liver facial features,liver palms and diarrhea),ultrasound B imaging features(diameter of portal vein,liver volume,diffuse echo enhancement,liver plaque heterogeneous echo and liver capsule jagged),were compared between the two groups.Results The male ratio of alcoholic liver cirrhosis was obviously higher than that in the hepatitis liver cirrhosis group(92.9%vs 80.0%)(P<0.05),and the average age was lower than that in the hepatitis liver cirrhosis group,The difference was statisticaly significants(P<0.05),[(53.1±4.2)years old vs(58.7±4.5)years old],and the average disease course was obviously shorter than that in the hepatitis liver cirrhosis patients[(23.2±1.5)years vs(35.3±2.4)years]The difference was statisticaly significants(P<0.05),and the manifestations of hepatic face,hepatomegaly,liver palms and edema of lower extremities of the alcoholic liver cirrhosis group were more outstanding than those of hepatitis liver cirrhosis group(P<0.05),and the incidence rates of liver volume enlargement,diffuse echo enhancement and smooth surface of liver in the alcoholic liver cirrhosis group were obviously higher than those in the hepatitis liver cirrhosis group,The difference was statisticaly significants(P<0.05),and the incidence rates of liver mass reduction,liver capsule jugged change,liver patchy inhomogeneous echo,liver surface juggled and thickening an
作者
张鹏
ZHANG Peng(Ultrasound B Room,Branch of Heze Municiple Hospital,Heze,Shandong Province,274000 China)
出处
《系统医学》
2017年第17期86-90,共5页
Systems Medicine
关键词
肝炎肝硬化
酒精性肝硬化
临床症状表现
B超
影像学表现
Hepatitis liver cirrhosis
Alcoholic liver cirrhosis
Manifestations of clinical symptoms
Ultrasound B
Manifestations of imaging
