Study on correlation between liver ultrasonic appearance of patients with chronic hepatitis B and cirrhosis and hydrothorax

L.-L. Sun, Y.-H. Li, F. Chen, S. Wang, H. Shi

Department of Medical Imaging, Qianfoshan Hospital Affiliated to Shandong University, Jinan, China. hao_shi1212@163.com

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• Gastroenterology

OBJECTIVE: The aim of this study is to analyze the correlation between liver ultrasonic quantitative detection indexes of patients with chronic hepatitis B and cirrhosis and hepatic hydrothorax.

PATIENTS AND METHODS: We selected 56 cases of patients with chronic hepatitis B and cirrhosis combined with hepatic hydrothorax in our hospital from March 2013 to March 2015. Also, we selected 63 cases of patients with cirrhosis without hepatic hydrothorax at the same time. The comparison of liver ultrasonic quantitative detection indexes and positions, quantities and proportions of hepatic hydrothorax of patients in these two groups was conducted.

RESULTS: In compare to the index of liver size and the level of ALP in two groups, there were not significant differences (p>0.05). In the observation group, the diameter of portal vein, the blood flow velocity of portal vein and the level of serum albumin significantly decreased in comparison to the control group (p<0.05). For patients with hydrothorax in both sides of the observation group, the diameter of portal vein, blood flow velocity of portal vein and level of serum albumin significantly decreased while comparing to the patients with hydrothorax in right (p<0.05). The volume of hydrothorax was negatively related to the diameter of portal vein, blood flow velocity of portal vein and the level of serum albumin, while the proportion of hydrothorax was not related to the diameter of portal vein, the blood flow velocity of portal vein and the level of serum albumin.

CONCLUSIONS: The liver ultrasonic quantitative detection indexes of patients with chronic hepatitis B and cirrhosis, diameter of portal vein, blood flow velocity of portal vein and level of serum albumin might be related to the volume of hepatic hydrothorax.

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