摘要
目的:探讨肝硬化在早期时的形态学的变化,以期获得较早的一些诊断。方法:对我科32例超声检查患者进行分析及追踪。结果:32例患者的肝左叶有明显的萎缩,肝边缘都有不同程度的变钝。结论:如有乙肝病史除肝脏的一般检查外,首先要注意肝左叶的大小,如发现肝左叶明显变小或萎缩时要特别注意观察肝包膜及肝边缘的情况,如有肝左叶萎缩,部分肝包膜不平或极轻微的肝边缘变钝,即使没有全肝缩小,脾肿大,门静脉增宽,腹水等也要考虑肝硬化,以期让患者得到较早期的治疗,避免向失代偿期肝硬化发展。
Objective: To investigate the early liver cirrhosis in the morphological changes, in order to achieve earlier diagnosis. Methods: the 32 cases with ultrasonography in patients with analysis and tracking. Results: 32 patients with marked atrophy of left lobe of the liver, liver edge have varying degrees of blunt. Conclusion: if there is a history in addition to hepatitis B liver general examination, attention must be given to the left lobe of liver size, as found in the left liver lobe is smaller or atrophy should pay special attention to the observation of the hepatic capsule and liver edge cases, such as with left hepatic lobe atrophy, partial hepatic capsular uneven or very mild blunt liver edge, even in the absence of whole liver narrowing, splenomegaly, portal vein width, such as cirrhosis ascites should also be considered, in order to allow patients to get early treatment, to avoid the decompensated cirrhosis development.
关键词
早期
肝硬化
超声
Early ultrasound Liver cirrhosis