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对胆汁郁积型病毒性肝炎的诊断方法有超声波检查、十二指肠造影术、逆行胰胆管造影、经皮和经肝胆管X线造影、肝活组织检查、腹腔镜检查和肝闪烁照相术等。一般常用的血清学检查可测定病毒性肝炎的肝细胞损害,但对ХФВГ并无诊断意义,因为它不能反映胆管壁和它周围的结缔组织形态特征,也缺乏慢性胆汁郁积型肝炎和胆汁性肝硬变的生化诊断指标,即评价肝结缔组织病变活动度的量值指标。本文通过测定血清游离羟脯氨酸、总胆固醇和甘油三酯的含量,观察ХФВГ患者肝结缔组织状态,讨论利用该法作为诊断ХФВГ的辅助手段的可能性,并预测疾病的经过和结局。共观察62例急性ХФВГ,11例慢性胆汁
Diagnostic methods for cholestatic viral hepatitis include sonography, duodenal angiography, retrograde cholangiopancreatography, percutaneous and transhepatic cholangiography, liver biopsy, laparoscopy, and liver scintigraphy . Commonly used serological tests determine hepatocellular damage in viral hepatitis but have no diagnostic significance for ХФВГ because it does not reflect the morphological features of the bile duct wall and the connective tissue around it and also lacks chronic cholestatic hepatitis and biliary liver Hardening of the biochemical diagnostic indicators, that is, the evaluation of hepatic connective tissue disease activity measures the value of indicators. In this paper, the status of hepatic connective tissue in ХФВГ patients was observed by measuring serum free hydroxyproline, total cholesterol and triglyceride. The possibility of using this method as an aid in the diagnosis of ХФВГ was discussed, and the course and outcome of the disease were predicted. A total of 62 cases of acute ХФВГ observed, 11 cases of chronic bile