摘要
目的探讨脂肪肝患者与病毒性肝炎患者的B超影像学特点。方法选取105例肝病患者,均经临床病理学检查显示:53例患者为脂肪肝,52例患者为病毒性肝炎。所有患者均行B超影像学检查,观察患者实质回声、肝脏大小、脾脏大小、管腔结构以及胆囊炎变等指标。比较脂肪肝及病毒性肝炎患者B超诊断符合率及B超影像学特点。结果53例脂肪肝患者的B超检查结果显示:50例患者确诊为脂肪肝,诊断符合率为94.3%,另外2例患者出现误诊、误诊率为3.8%,1例患者出现漏诊、漏诊率为1.9%。52例病毒性肝炎患者的B超检查结果显示:45例患者确诊为病毒性肝炎,诊断符合率为86.5%,另外5例患者出现误诊、误诊率为9.6%,2例患者出现漏诊、漏诊率为3.8%。脂肪肝及病毒性肝炎患者B超诊断符合率比较差异无统计学意义(P>0.05)。脂肪肝与病毒性肝炎患者在B超影像学中会表现出肝大、回声弥漫增强、胆囊炎变、脾大、管腔减少等特点。脂肪肝患者的肝大、回声弥漫增强以及管腔减少比例分别为100.0%、100.0%、94.3%,均高于病毒性肝炎患者的61.5%、17.3%、36.5%,差异具有统计学意义(P<0.05);脂肪肝患者的胆囊炎变与脾大比例分别为18.9%、7.6%,均低于病毒性肝炎患者的86.5%、92.3%,差异具有统计学意义(P<0.05)。结论对脂肪肝患者与病毒性肝炎患者采取B超检查诊断符合率良好,应着重监测患者肝脏大小、脾脏大小、是否存在回声弥漫性改变、管腔结构是否能够清晰地显示以及胆囊是否有炎性病变,可为后续诊断提供可靠的依据。
Objective To discuss the B-ultrasound imaging characteristics of fatty liver and viral hepatitis.Methods 105 patients with liver disease were selected,and the clinical pathological examination showed that 53 patients had fatty liver and 52 patients had viral hepatitis.All patients underwent B-ultrasound imaging examination to observe the indicators of parenchymal echo,liver size,spleen size,lumen structure and cholecystitis.The coincidence rate of B-ultrasound diagnosis and B-ultrasound imaging characteristics of patients with fatty liver and viral hepatitis were compared.Results The B-ultrasound results of 53 patients with fatty liver showed that 50 patients were diagnosed with fatty liver,with diagnosis coincidence rate as 94.3%,the other 2 patients had misdiagnosis,with misdiagnosis rate as 3.8%,and 1 patient had missed diagnosis,with the missed diagnosis rate as 1.9%.The B-ultrasound results of 52 patients with viral hepatitis showed that 45 patients were diagnosed with viral hepatitis,with diagnosis coincidence rate as 86.5%,the other 5 patients had misdiagnosis,with misdiagnosis rate was 9.6%,and 2 patients had missed diagnosis,with missed diagnosis rate as 3.8%.There was no statistically significant difference in the coincidence rate of B-ultrasound diagnosis between patients with fatty liver and viral hepatitis(P>0.05).Patients with fatty liver and viral hepatitis will show hepatomegaly,diffuse enhancement of echo,gallbladder enlargement,splenomegaly,and lumen reduction in B-ultrasound imaging.The proportions of hepatomegaly,diffuse enhancement of echo and lumen reduction of patients with fatty liver were 100.0%,100.0% and 94.3%,which were all higher than 61.5%,17.3% and 36.5% of patients with viral hepatitis,and the difference was statistically significant(P<0.05).The proportions of hepatocholitis and splenomegaly of patients with fatty liver were 18.9% and 7.6%,which were all higher than 86.5%and 92.3% of patients with viral hepatitis,and the difference was statistically significant(P<0.05).Conclusion B
作者
吕晓妹
LYU Xiao-mei(Department of Electrical Diagnosis,Fengcheng Central Hospital,Dandong 118100,China)
出处
《中国现代药物应用》
2021年第15期47-50,共4页
Chinese Journal of Modern Drug Application
关键词
脂肪肝
病毒性肝炎
B超检查
影像学特点
Fatty liver
Viral hepatitis
B-ultrasound examination
Imaging characteristics
