老年人腹部B型超声检查——附319例结果分析

本文分析319例老年人腹部B型超声检查结果。共检出疾病205例(64.3％),分别为胆囊疾病73例(22.9％)、肝脏疾病68例(21.3％)胆汁淤滞性黄疸32例(10.0％)、泌尿系疾病19例(6.0％)、其它疾病13例(4.1％)。55例胆囊结石中,无症状胆囊结石及声象图呈Ⅱ型结石者所占的比例较同期60岁以下非老年组(60例)为高。老年人胆汁淤滞性黄疸的病因依次为胆系结石或感染、肿瘤及肝内胆汁淤滞。我们认为,AFP阴性肝癌,宜首选B超检查。实时线阵型B超检查前列腺疾病亦可获满意效果。

B-SCAN ULTRASOUND EXAMINATION OF THE ABDOMEN OF OLD PEOPLE——A Report of 319 Cases

This paper analyses the result of B-scan ultrasound examination in 319 old people. Among the patients, 73 (22.9％ ) were ill with gallbladder diseases, 68 ( 21.3％ ) with liver diseases, 32 ( 10.0％ ) with cholestatic jaundice, 19(6.0％)with urinary disease and 13 (4.1％) with other diseases. Symptomless cholelithiasis and cholelithiasis type Ⅱ in sonography were more frequent in old people than in those under sixty. In old people the causes of cholestatic jaundice were stone or infection of biliary tract, tumour and interhepatic cholestasis. If a patient's illness should be diagnosed as hepatic cancer with AFP negative, B-scan ultrasound must be chosen. Prostatic diseases can also be examined with real-time line B-scan ultrasound, by which satisfactory result is often obtained.