Ekberg O, Aspelin P
Scand J Gastroenterol. 1986 Jun;21(5):573-6. doi: 10.3109/00365528609003102.
A substantial number of patients referred for ultrasound examination of the liver, biliary tract, and pancreas are asymptomatic but have abnormal biochemical liver test results. Retrospective evaluations were made of abdominal ultrasonographies in 286 such patients (159 men and 127 women). Normal studies were found in 104 of the men (65%) and 78 of the women (61%). Cholecystolithiasis with or without chronic cholecystitis was found in 24 of the men (15%) and 36 of the women (28%); diffuse liver parenchyma disease was found in 21 of the men (13%) and 7 of the women (6%). Other significant abnormalities were chronic pancreatitis (3), carcinoma of the gallbladder (2), liver metastasis (2), hepatocellular carcinoma (1), lymphoma (1), and ampullary carcinoma (1). Ultrasonography is a suitable technique for evaluation of asymptomatic patients with abnormal biochemical liver test results, and we have adopted it as the method of choice in this setting.
大量因肝脏、胆道和胰腺超声检查前来就诊的患者并无症状，但生化肝功能检查结果异常。对286例此类患者（159名男性和127名女性）的腹部超声检查进行了回顾性评估。在104名男性（65%）和78名女性（61%）中发现超声检查结果正常。在24名男性（15%）和36名女性（28%）中发现有胆囊结石伴或不伴慢性胆囊炎；在21名男性（13%）和7名女性（6%）中发现有弥漫性肝实质疾病。其他显著异常包括慢性胰腺炎（3例）、胆囊癌（2例）、肝转移（2例）、肝细胞癌（1例）、淋巴瘤（1例）和壶腹癌（1例）。超声检查是评估生化肝功能检查结果异常的无症状患者的合适技术，我们已将其作为这种情况下的首选方法。
