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Analyzed alcoholic liver cirrhosis and post-hepatitic liver cirrhosis by observing ultrasonography
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摘要: 明确酒精性肝硬化(A lcoholic liver c irrhosis,ALC)和肝炎肝硬化(LC)的超声鉴别诊断。回顾分析我院收治确诊的48例ALC和68例LC患者的超声资料。仪器采用Ph ilips HD I 5000彩超仪,探头3.5MHz,存储图像,脱机分析。ALC患者的超声表现中:肝体积增大,形态正常,回声弥漫增强的出现率明显高于LC组(P<0.05)。LC的超声表现中:肝体积缩小,形态失常,肝被膜锯齿状,肝内不规则回声增高,表现为网格状高回声或苔藓状或鳞片状高回声等发生率明显高于ALC组。脾肿大,腹水及门脉内径(肝外肝门处测量)两组间无明显差异。得出结论超声有助于鉴别ALC和LC。Abstract: To different alcoholic liver cirrhosis (ALC) from liver cirrhosis (LC) by observing ultrasonography.Forty-eight inpatients with ALC and 68 inpatients with LC in our hospital from January 2004 to January 2005 were analyzed retrospectively.The diagnostic systems Philips HDI 5000 with 3.5Mhz abdominal probe were used.And some data were restored and studied.The incidence of enlargement of the liver with normal shape and diffuse hyper-echo in patients with ALC were more frequent than in patients with LC.The incidence of shrinking liver with abnormal shape, fractional surface and lichen-like hyper-echo in patients with LC were more frequent than in patients with ALC.The incidence of ascites, splenomegaly and extended portal vein between them showed no difference.It is of value to study ultrasonographic characteristics in making a diagnosis and differential diagnosis of ALC and LC.
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Key words:
- ultrasound /
- alcoholic liver cirrhosis /
- liver cirrhosis /
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