【Abstract】Objective To investigate the CT manifestations of chronic virus hepatitis B.
Methods According to the inclusion and exclusion criteria, the clinical data and laboratory information of 120 patients with chronic virus hepatitis B were reviewed retrospectively. All patients underwent standardized contrast-enhanced spiral CT dual-phase scanning of the upper abdomen. The changes of the liver, bile duct, spleen, portal venous system, lymph node of the upper abdomen, peritoneal cavity and pleural cavity were observed and noted.
Results CT manifestations of chronic virus hepatitis B were as follows: ①changes of the configuration and shape of the liver, ② changes of the density of the liver, ③intrahepatic perivascular lucency, ④thickening of gallbladder wall and edema of the gallbladder fossa, ⑤splenomegaly, ⑥enlargement of abdominal lymph nodes, ⑦ascites, ⑧abnormalities related to portal hypertension (collateral circulation), and ⑨secondary thoracic changes (pleural and pericardial effusion).
Conclusion Chronic virus hepatitis B can demonstrate several abnormal findings involving the liver, gallbladder, lymph nodes, spleen, etc on contrast-enhanced CT scanning.
Citation：
LUO Xiaohua,SONG Bin,CHEN Weixia,XU Juan.. CT Imaging Manifestations of Chronic Virus Hepatitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(5): 458-461. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 1. 中华医学会传染病与寄生虫病学分会和肝病学分会. 病毒性肝炎防治方案 [Ｊ]. 传染病信息， 2000； 13（4）∶141.
- 2. Wechsler RJ, Munoz SJ, Needleman L, et al. The periportal collar: a CT sign of liver transplant rejection [Ｊ]. Radiology, 1987; 165(1)∶57.
- 3. 郭金玉. 病毒性肝炎患者合并胆道系统损害的超声诊断分析 [Ｊ]. 中西医结合肝病杂志， 2001； 11（2）∶98.
- 4. Federle MP, Moss AA. Computer tomography of the body with magnetic resonance [M]. 2nd ed. New York: SpringerVerlag, 1992∶1062-1063.
- 5. Williams PL, Dysom M. Gray’s anatomy [M]. 37th ed. London: Springer Verlag, 1989∶827-828.
- 6. Dorfman RE, Alpern MB, Gross BH, et al. Upper abdominal lymph nodes: criteria for normal size determined with CT [Ｊ]. Radiology, 1991 ; 180(2)∶319.
- 7. Aspestrand F, Mathisen O, Bergan A. Perivascular low attenuation zone at CT of liver transplants. A followup study [Ｊ]. Acta Radiol, 1991; 32(3)∶244.
- 8. Koslin DB, Stanley RJ, Berland LL, et al. Hepatic perivascular lymphedema: CT appearance [Ｊ]. AJR Am J Roentgenol, 1988; 150(1)∶111.
- 9. 段建军，欧强，沙新平. 肝炎和肝硬化患者胆囊超声改变的观察与分析 [Ｊ]. 中国现代医学杂志， 2003； 13（14）∶67.
- 10. 杨炜，李山山. 超声对慢性乙型肝炎肝门区肿大淋巴结的观察分析 [Ｊ]. 中国超声诊断杂志， 2004； 5（4）∶289.
- 11. Lyttkens K, Prytz H, Forsberg L, et al. Ultrasound, hepatic lymph nodes and chronic active hepatitis [Ｊ]. J Hepatol, 1994; 21(4)∶578.
- 12. Dietrich CF, Viel K, Braden B, et al. Mediastinal lymphadenopathy: an extrahepatic manifestation of chronic hepatitis C? [Ｊ]. Z Gastroenterol, 2000; 38(2)∶143.
- 13. Soresi M, Bonfissuto G, Magliarisi C, et al. Ultrasound detection of abdominal lymph nodes in chronic liver diseases. A retrospective analysis [Ｊ]. Clin Radiol, 2003; 58(5)∶372.
