中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
20期
3055-3057
,共3页
肝疾病,酒精性%超声检查,多普勒%评价研究
肝疾病,酒精性%超聲檢查,多普勒%評價研究
간질병,주정성%초성검사,다보륵%평개연구
Liver diseases,alcoholic%Ultrasonography,Doppler%Evaluation studies
目的 观察多普勒超声检查在酒精性肝病治疗效果评价中的价值.方法 酒精性肝病患者共212例,分别在治疗前行多普勒超声以及肝功能检查,并经戒酒、药物等治疗1个疗程后再次行超声以及肝功能检查以观察多普勒超声检查评估酒精性肝病治疗效果的敏感性.结果 212例确诊的酒精性肝病患者在治疗前经超声检出95例,检出率96.70％,其中诊断为酒精性肝炎者共51例,诊断为酒精性肝硬化者共59例,治疗后43例酒精性肝病患者中,超声影像异常共37例,检出率86.04％,其中诊断为典型酒精性脂肪肝者共9例,诊断为酒精性肝炎者共12例,诊断为酒精性肝硬化者共16例.结论 采用多普勒超声检查对患者无创,且经济方便,在治疗过程中以及随访中可多次进行检查,利于医生掌握患者病情改变情况,可作为临床上诊断酒精性肝病的首选方法.
目的 觀察多普勒超聲檢查在酒精性肝病治療效果評價中的價值.方法 酒精性肝病患者共212例,分彆在治療前行多普勒超聲以及肝功能檢查,併經戒酒、藥物等治療1箇療程後再次行超聲以及肝功能檢查以觀察多普勒超聲檢查評估酒精性肝病治療效果的敏感性.結果 212例確診的酒精性肝病患者在治療前經超聲檢齣95例,檢齣率96.70％,其中診斷為酒精性肝炎者共51例,診斷為酒精性肝硬化者共59例,治療後43例酒精性肝病患者中,超聲影像異常共37例,檢齣率86.04％,其中診斷為典型酒精性脂肪肝者共9例,診斷為酒精性肝炎者共12例,診斷為酒精性肝硬化者共16例.結論 採用多普勒超聲檢查對患者無創,且經濟方便,在治療過程中以及隨訪中可多次進行檢查,利于醫生掌握患者病情改變情況,可作為臨床上診斷酒精性肝病的首選方法.
목적 관찰다보륵초성검사재주정성간병치료효과평개중적개치.방법 주정성간병환자공212례,분별재치료전행다보륵초성이급간공능검사,병경계주、약물등치료1개료정후재차행초성이급간공능검사이관찰다보륵초성검사평고주정성간병치료효과적민감성.결과 212례학진적주정성간병환자재치료전경초성검출95례,검출솔96.70％,기중진단위주정성간염자공51례,진단위주정성간경화자공59례,치료후43례주정성간병환자중,초성영상이상공37례,검출솔86.04％,기중진단위전형주정성지방간자공9례,진단위주정성간염자공12례,진단위주정성간경화자공16례.결론 채용다보륵초성검사대환자무창,차경제방편,재치료과정중이급수방중가다차진행검사,리우의생장악환자병정개변정황,가작위림상상진단주정성간병적수선방법.
Objective To observe the clinical value of doppler ultrasound in evaluation of the treatment outcome of alcoholic liver disease.Methods 212 patients with alcoholic liver disease were selected.Ultrasound and liver function tests were applied before and after treatment,and temperance and medicines were applied for treating.The effects were used to observe the senlitivity of ultrasound applied in evaluation the treatment outcome of alcoholic liver disease.Results Of 212 cases,95 cases were diagnosed as alcoholic fatty liver disease by ultrasound before treatment,and the detection rate before treatment was 96.70％.51 cases were diagnosed as alcoholic hepatitis and 59 cases were alcoholic cirrhosis.After treatment,there were 37 cases had abnormal ultrasound images in 43 patients with alcoholic liver disease,and the detection rate was 86.04％.And 9 cases were diagnosed as alcoholic fatty liver disease by ultrasound,12 cases were diagnosed as alcoholic hepatitis and 16 cases were alcoholic cirrhosis.Conclusion It was noninvasive,cheap,convenient and repeated by using doppler ultrasound,and it was conducive to grasp the change of the condition of the patients for doctors.Ultrasound could be chosen as the preferred method for diagnosis of alcoholic liver disease.
