 Wysłany: Nie 8:11, 24 Kwi 2011 Temat postu: Acute viral hepatitis B- The clinical value of cha |
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| Acute viral hepatitis B-The clinical value of changes in the gallbladder wall
Abstract B-ultrasound evaluation of the gallbladder wall changes in viral hepatitis and its clinical value. [Methods] 147 patients with viral hepatitis B patients with normal ultrasound measurement of gallbladder wall thickness. [Results] There were 147 cases, 119 cases of gallbladder wall thickening in varying degrees, accounting for 80.9%. [Conclusion] B super observed changes in the gallbladder wall in acute viral hepatitis diagnosis, differential diagnosis, therapeutic evaluation and prognosis of high clinical value. Key words hepatitis B ultrasound of gallbladder wall Abstract: [Objective] To evaluate the clinical value of gall bladder wall change of virus hepatitis tested by B? Ultrasound. [Method] Make routine test to 147 cases of virus hepatitis with B? ultrasound, measure gall bladder wall thickness. [Result] 119 cases had increased gall bladder thickness in different extent, occupying 80.9%. [Conclusion] Observation with B? ultrasound test has high clinical value in diagnosing and differentiating acute virus hepatitis, judging cure effect and prognosis. Key words: B? ultrasound test; gall bladder wall; virus hepatitis viral hepatitis is a clinical common infectious disease that often appears as fatigue, nausea, anorexia and other gastrointestinal symptoms may be associated with jaundice. Laboratory examination of serum bilirubin, transaminase elevation as the main performance. This article epidemiology in our hospital from May 1998 to November 2006 of 147 cases of viral hepatitis in patients with complete data for conventional B-mode ultrasound of gallbladder wall in which the changes were reviewed, the report is as follows. 1 Materials and methods 1.1 General information on 147 patients in this group were all hospitalized patients in our hospital epidemiology, male 91 cases, female 46, aged 6 to 57 years, mean 37 years old. There was no previous history of biliary tract disease. All cases were clinical and laboratory examination or liver biopsy confirmed. 1.2 Methods The instrument is DU? 4, HDI? 4000-type ultrasonic diagnostic apparatus, convex array probe, a frequency of 3.5MHz. All patients fasted 8 ~ 12h, supine position or left lateral position using, B-Pancreatic routine examination of spleen, gallbladder measured maximum diameter, anteroposterior diameter, and anterior wall thickness. In the case of fasting, the gallbladder length 60 ~ 90mm, anteroposterior diameter of 20 ~ 30mm, the entire gallbladder wall light, clear, normal gallbladder wall thickness (anterior) is less than equal to 3mm [1]. 2 gallbladder wall thickness greater than the results of 3mm, that is the gallbladder wall thickening. The group of 147 patients with acute viral hepatitis, gallbladder wall thickening in 119 cases, accounting for 80.9%, of which 96 cases of acute jaundice hepatitis, gallbladder wall thickening in 85 cases, accounting for 88.5%, acute hepatitis without jaundice in 51 cases, gallbladder wall thickening of the 34 cases, accounting for 66.7%. Most of the gallbladder wall thickening was significant,tory burch reva, the thickness 3.1 ~ 19.2mm, with an average thickness of 0.7cm, and for uniform concentric thickening of the gallbladder lumen was narrow or even disappear to change, the gallbladder volume is normal or small, thickened gallbladder wall Echo, a clear increase lateral inward gradually reduce the echo, can be expressed as |
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