肝硬化患者胆囊壁厚度变化及其临床意义

Change of gall-bladder wall thickness and its significance in liver cirrhosis

摘要: 目的: 研究肝硬化患者胆囊壁厚度的变化并探讨其临床意义。方法: 回顾性分析43例肝硬化患者B超及肝功能检查资料,并进行统计学处理。结果: 肝硬化患者有胆囊壁增厚者达76.7%,且有腹腔积液者胆囊壁增厚发生率为87.1%,高于无腹腔积液者50.0%(P<0.05)。胆囊壁厚度与门静脉宽度呈正相关关系(P<0.01),与血浆清蛋白呈负相关关系(P<0.01)。结论: 肝硬化患者往往伴有胆囊壁增厚,且伴发腹腔积液者胆囊壁增厚发生率高于无腹腔积液者.其原因是多方面的,门脉高压及低蛋白血症可能是主要因素。

Abstract: Objective: To investigate the change of gall-bladder wall thickness in liver cirrhosis and it's clinical significance.Methods: The sonography B and liver function of 43 cases of liver cirrhosis were analysed retrospectively and the statistics were studied.Results: Of all the patients with liver cirrhosis 76.7% had gall-bladder wall thickening(GBWT) and 87.1% of the patients with GBWT had ascites,which was 50% higher than patients without ascites(P<0.05).The thickening of gall-bladder had positive correlation with the width of portal vein(P<0.01) and negative correlation with serum level of albumin(P<0.01).Conclusions: Most liver cirrhosis patients have GBWT,the percentage of GBWT in patients with ascites is higher than that of patients without ascites.HPT and hypoproteinemia may be the main factors.