摘要
目的探讨酒精性肝硬化与肝炎肝硬化应用彩超进行鉴别的临床价值。方法选取66例酒精性肝硬化患者作为甲组,另选取同期66例肝炎肝硬化患者作为乙组。两组患者均进行彩超检查,对比两组患者彩超检查数值、彩超形态及表现。结果甲组患者右肝厚径、右肝斜径分别为(98.01±13.02)、(145.07±19.74)mm,均大于乙组的(60.01±8.76)、(121.41±10.74)mm,差异具有统计学意义(P<0.05);甲组患者门静脉内径、脾脏厚度分别为(13.29±1.74)、(49.03±7.01)mm,乙组患者门静脉内径、脾脏厚度分别为(12.93±2.04)、(49.73±4.74)mm,两组患者门静脉内径、脾脏厚度比较差异无统计学意义(P>0.05)。甲组患者肝脏弥漫性回声增强占比66.7%、体积增大占比74.2%高于乙组的34.8%、36.4%,肝脏形态失常占比0、不规则回声占比13.6%、肝被膜锯齿状占比16.7%低于乙组的50.0%、63.6%、74.2%,差异具有统计学意义(P<0.05)。结论酒精性肝硬化与肝炎肝硬化应用彩超进行鉴别诊断应用价值高,值得临床积极推广应用。
Objective To discuss the clinical value of color Doppler ultrasound in the differential diagnosis of alcoholic liver cirrhosis and hepatitis cirrhosis. Methods There were 66 patients with alcoholic liver cirrhosis selected as group A, and another 66 patients with hepatitis and liver cirrhosis selected as group B during the same period. Both groups were examined by color Doppler ultrasound, and the color Doppler ultrasound examination value, color Doppler ultrasound morphology and performance were compared between the two groups. Results The thickness diameter of the right liver and the oblique diameter of the right liver in group A were(98.01±13.02) and(145.07±19.74) mm, respectively, which were larger than(60.01±8.76) and(121.41± 10.74) mm in group B, and the difference was statistically significant(P<0.05). The portal vein diameter and spleen thickness of group A were(13.29±1.74) mm and(49.03±7.01) mm respectively, while those of group B were(12.93±2.04) mm and(49.73±4.74) mm respectively. There was no statistically significant difference between the two groups(P>0.05). The proportion of liver diffuse echo enhancement 66.7%, volume enlargement 74.2% in group A were higher than 34.8% and 36.4% of group B, and proportion of liver morphological abnormality 0, irregular echo 13.6%, serrated liver capsule 16.7% were lower than 50.0%, 63.6% and 74.2% of group B, and the difference was statistically significant(P<0.05). Conclusion The application of color Doppler ultrasound is of high value for differential diagnosis of alcoholic cirrhosis and hepatitis cirrhosis, and it is worthy of active clinical promotion and application.
作者
漆丹
QI Dan(Fushun Third Hospital,Fushun 113004,China)
出处
《中国实用医药》
2020年第34期35-37,共3页
China Practical Medicine
关键词
彩超
酒精性肝硬化
肝炎肝硬化
鉴别诊断
Color Doppler ultrasound
Alcoholic liver cirrhosis
Hepatitis cirrhosis
Differential diagnosis
