急性肝炎胆囊内胆汁淤积症的超声研究

目的：探讨由急性肝炎引起的胆囊内胆汁淤积症的超声特点及临床意义。方法：对急性肝炎伴胆囊内胆汁淤积症患者54例,行超声检查并随访,同时设置对照组34例。两组患者的丙氨酸氨基转移酶（Alanine aminotransferase,ALT）、总胆红素（Total Bilirubin,TBi L）均显著高于无胆汁淤积组（P=0.012,P=0.006）。结果：随着肝功能的好转,54例患者中,49例患者胆囊内的胆汁淤积症消失,3例患者淤积的胆汁缩小成团,回声逐渐增高,1例呈高回声团经胆管排出,1例患者形成结石。且胆囊恢复时间较无胆汁淤积组长（P=0.000 1）。结论：急性肝炎胆囊内胆汁淤积症患者肝功能损害重,病程长,超声连续观察有助于指导临床治疗。

Study of Acute Hepatitis with Gallbladder Sludge by Sonography

Objective：To assess the characteristics and clinical significance of sonography applied on patients with gallbladder sludge induced by acute hepatitis. Methods：54 cases with acute hepatitis with gallbladder sludge were ex-amined and followed up by sonography,and then the control group of 34 cases without gallbladder sludge were com-pared. Alanine aminotransferase（ALT）and total bilirubin（TBiL）in the group of acute hepatitis with gallbladder sludge were significantly higher than that of control group（ P=0 . 012 ,P=0 . 006 ）. Result：With the improvement of liver function,of 54 patients,gallbladder sludge disappeared in 49 patients;the bile sludge lessened in 3 patients and echo gradually increased;1 cases with high echoes was discharged through the common bile duct;the formation of stones was observed in 1 patient and the recovery time was longer than that of control group（ P=0 . 0001 ）. Conclusion：Based on the fact that Liver function damage is severer in patients with acute hepatitis with gallbladder sludge and course of dis-ease is longer,Ultrasonic continuous observation is helpful in guiding clinical treatment.