| 李尚安,阮骊韬,李瑞春,李佩佩,马兰,王斐倩.苏丹地区疟疾发作期的胆囊声像图特点[J].中国医学影像技术,2017,33(5):722~725 |
| 苏丹地区疟疾发作期的胆囊声像图特点 |
| Ultrasonographic features of gallbladder with malaria in stage of attack at Sudan |
| 投稿时间：2016-10-21 修订日期：2017-01-11 |
| DOI：10.13929/j.1003-3289.201610092 |
| 中文关键词: 超声检查 疟疾 胆囊 |
| 英文关键词:Ultrasonography Malaria Gallbladder |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨苏丹地区疟疾发作期（MSA）患者胆囊声像图特点。方法 对67例MSA患者根据临床表现分成普通型和重症疟疾。所有患者均接受常规腹部超声检查，根据胆囊的大小、胆囊壁厚度（TGW）、囊腔内胆汁情况将超声表现分为Ⅰ、Ⅱ和Ⅲ型，比较MSA患者临床分型与胆囊超声分型间的相关性，同时分析不同超声分型间肝功能的差异。结果 67例MSA患者纳入研究，普通型52例、重症15例。超声表现正常14例、Ⅰ型28例、Ⅱ型19例、Ⅲ型6例；其中普通型中正常14例、Ⅰ型25例、Ⅱ型12例、Ⅲ型1例，重症疟疾中正常0例、Ⅰ型3例、Ⅱ型7例、Ⅲ型5例，普通型和重症疟疾超声分型的差异有统计学意义（P<0.001）。华人和苏丹人之间的胆囊超声分型差异无统计学意义（P>0.05）。不同超声分型间肝功能差异有统计学意义（P<0.001）。结论 大部分MSA患者胆囊超声图发生相应改变，重症疟疾的胆囊改变较普通型疟疾更严重。 |
| 英文摘要: |
| Objective To explore the ultrasonographic features of the gallbladder with malaria in stage of attack (MSA) at Sudan. Methods A total of 67 cases of MSA patients were divided into common type of malaria (CM) and sever malaria(SM). All patients underwent routine abdominal ultrasound examination and the ultrasonographic features of the gallbladder were divided into type Ⅰ, Ⅱ and Ⅲ according to the volume of gallbladder, thickness of the gallbladder wall and cholestasis. The relationship between clinical types and the ultrasonic types were analyzed. Then the differences of liver function among normal, Ⅰ, Ⅱ and Ⅲ types were compared statistically. Results In all of the 67 MSA patients, 52 cases were CM and 15 cases were SM. The gallbladder ultrasonography showed that normal gallbladder were in 14 cases, type Ⅰin 28 cases, type Ⅱ in 19 cases, type Ⅲ in 6 cases. The ultrasonic types of the gallbladder had significant difference in SM patients (typeⅠ 3 cases, type Ⅱ 7 cases, type Ⅲ 5 cases) and CM patients (normal 14 cases, typeⅠ 25 cases, type Ⅱ 12 cases, type Ⅲ 1 case; P<0.001). Ultrasonic types of the gallbladder had no difference between Chinese and Sudanese (P>0.05). There were statistical significant differences of liver function among normal, Ⅰ, Ⅱ and Ⅲ types of the gallbladder (P<0.001). Conclusion Most of the MSA patients have ultrasonic changes of gallbladder. And there are more serious pathological changes of gallbladder in SM than that in CM. |
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