摘要
目的分析超声在酒精性肝硬化与肝炎肝硬化诊断鉴别中的临床价值。方法选取2019年12月至2021年12月于本院进行诊治的62例肝硬化(32例酒精性肝硬化,30例肝炎肝硬化)患者为研究对象,全部患者均行超声诊断。以综合性诊断结果作为金标准,分析超声在酒精性肝硬化与肝炎肝硬化诊断鉴别中的临床价值。结果超声对酒精性肝硬化、肝炎肝硬化的诊断准确度均为95.16%。酒精性肝硬化组的肝脏形态异常、不规则回声增强、肝被膜锯齿状占比低于肝炎肝硬化组,弥漫性回声增强占比高于肝炎肝硬化组(P<0.05);酒精性肝硬化组、肝炎肝硬化组的腹水占比无显著差异(P>0.05)。酒精性肝硬化组的肝右叶肋斜径、肝左叶厚径、门静脉内径大于肝炎肝硬化组,脾肝厚度小于肝炎肝硬化组(P<0.05)。结论超声对酒精性肝硬化与肝炎肝硬化均具有较高的诊断准确度,可在短时间内鉴别这两种肝硬化类型,且费用较低,可用于早期筛查,值得推广。
Objective To analyze the clinical value of ultrasound in the diagnosis and differentiation of alcoholic cirrhosis and hepatitis cirrhosis.Methods Sixty-two patients with cirrhosis(32 alcoholic cirrhosis and 30 hepatitis cirrhosis)who were treated in our hospital from December 2019 to December 2021 were selected as the study objects and diagnosed by ultrasound.Using the comprehensive diagnostic results as the gold standard,the clinical value of ultrasound in the diagnosis and differentiation of alcoholic cirrhosis and hepatitis cirrhosis was analyzed.Results The accuracy of ultrasond in the diagnosis of alcoholic cirrhosis and hepatitis cirrhosis was 95.16%.The proportions of abnormal liver morphology,irregular echo enhancement and serrated liver capsule in the alcoholic cirrhosis group were lower than those in the hepatitis cirrhosis group,and the proportion of diffuse echo enhancement was higher than that in the hepatitis cirrhosis group(P<0.05);there was no significant difference in the proportion of ascites between the alcoholic cirrhosis group and the hepatitis cirrhosis group(P>0.05).The oblique diameter of the right lobe of liver,the thickness of the left lobe of liver and the inner diameter of portal vein in the alcoholic cirrhosis group were greater than those in the hepatitis cirrhosis group,and the thickness of the spleen and liver was smaller than that in the hepatitis cirrhosis group(P<0.05).Conclusion Ultrasound has high diagnostic accuracy for both alcoholic cirrhosis and hepatitis cirrhosis,and can distinguish these two types of cirrhosis in a short time.It has low cost and can be used for early screening,which is worth promoting.
作者
商留阳
张航
SHANG Liuyang;ZHANG Hang(Ultrasound Department,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471000,China)
出处
《临床医学研究与实践》
2024年第5期92-95,共4页
Clinical Research and Practice
关键词
超声
酒精性肝硬化
肝炎肝硬化
ultrasound
alcoholic cirrhosis
hepatitis cirrhosis
