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目的对1 967例华支睾吸虫病患者超声波检查肝胆的征象进行临床分析。方法超声波肝胆系统扫描。结果1 967例华支睾吸虫阳性者,肝胆系统超声波显示异常1 529例,占77.7%。其中重度者128例,占8.4%;中度者539例,占35.3%;轻度者862例,占56.4%。具体表现为肝、胆增大者87例占5.7%,肝内、胆管壁回声增强,管壁增厚,可见肝胆内胆管有不同程度的扩张者1 289例,占84.3%,有胆囊壁增厚,内见粗大飘动光点者127例,占8.3%。1 247例肝内胆管回声强,合并胆囊增大312例,占肝内胆管壁像改变者的25.0%。结论超声波肝胆检查在华支睾吸虫病流行区人群例行体检中,对于无症状的华支睾吸虫病患者的诊断具有实际临床意义。
Objective To analyze the clinical features of 1 967 cases of clonorchiasis by ultrasonography. Methods Ultrasound Hepatobiliary system scanning. Results 1 967 cases of Clonorchis sinensis positive, hepatobiliary system ultrasound showed abnormal 1 529 cases, accounting for 77.7%. Among them, 128 cases were severe, accounting for 8.4%; 539 cases were moderate, accounting for 35.3%; 862 cases were mild, accounting for 56.4%. Specifically manifested as liver and gallbladder increased in 87 cases accounted for 5.7%, intrahepatic, bile duct wall echo enhancement, wall thickening, visible hepatobiliary bile duct with varying degrees of dilatation in 1 289 cases, accounting for 84.3%, with gallbladder wall increased Thick, see the thick floating point of light in 127 cases, accounting for 8.3%. 1 247 cases of intrahepatic bile duct echo strong merger of the gallbladder increased 312 cases, accounting for changes in intrahepatic bile duct wall 25.0%. Conclusion Ultrasonic examination of liver and gallbladder in Clonorchiasis endemic areas routine examination of the crowd, for the diagnosis of asymptomatic Clonorchiasis patients with clinical significance.