Abdullaev A, Matsulevich T V, Panasek I A, Ergeshov A
Probl Tuberk. 1990(8):24-7.
A comparative clinico-morphologic and echographic study of the liver in 50 patients with pulmonary tuberculosis and diabetes mellitus was conducted. Comprehensive examination confirmed the following conditions: chronic active hepatitis in 3; chronic persistent hepatitis in 8; non-specific reactive hepatitis in 4; liver cirrhosis in 3; fatty degeneration in 10; and fibrosis of the liver in 22 patients. Ultrasonic examination made it possible to observe the most evident changes in chronic active hepatitis, liver cirrhosis and fatty degeneration, while less evident changes were seen in chronic persistent hepatitis, non-specific reactive hepatitis and fibrosis of the liver. Thus, an ultrasonic examination reflecting a certain morphologic restructuring of the organ may render a great help in detecting different forms of the liver lesions.
对50例肺结核合并糖尿病患者的肝脏进行了临床形态学和超声检查的对比研究。综合检查证实了以下情况:3例为慢性活动性肝炎;8例为慢性持续性肝炎;4例为非特异性反应性肝炎;3例为肝硬化;10例为脂肪变性;22例为肝纤维化。超声检查能够观察到慢性活动性肝炎、肝硬化和脂肪变性中最明显的变化,而在慢性持续性肝炎、非特异性反应性肝炎和肝纤维化中变化则不太明显。因此,反映器官某种形态学重构的超声检查可能对检测不同形式的肝脏病变有很大帮助。