Objective Using color doppler ultrasound to evaluate the curative effect of antiviral treatment to chronic hepatitis C.Methods A total of 45 cases who visited the Second People's Hospital of Shuangliu from April 2011 to April 2013 were collected in our study.All the patients were treated with antiviral treatment.CHC-RNA testing was used to judge the effectiveness.Color doppler ultrasound was used to exam related indexes and to evaluate the curative effect from multi-dimensional.Results Being treated for 12 weeks,20 patients showed an effective result while 25 were judged as invalid by CHC-RNA testing.Being examined by color doppler ultrasound,cases who were judged as effectiveness showed a significant improve in indexes of spleen SI,ALT and platelet (P ＜ 0.05).Among the 25 cases who were judged as invalid,the spleen SI value decreased in 11 of them (44.0％) ; ALT value decreased in 9 (36.0％) ; 10 (40.0％) cases showed an increased platelet value.The indexes of SI,ALT and platelet have changed a lot after treatment both in effective group and ineffective group,the difference was significant (P ＜ 0.05).Conclusions Antiviral treatment is useful in treating patients with chronic hepatitis C.Color doppler ultrasonography could be used in evaluating the effectiveness chronic hepatitis C treatment from multi-dimensional.

目的 探讨经阴道彩超对子宫内膜良恶性病变的临床诊断价值.方法 选取本院2010年1月-2011年12月期间在本院收治的不规则出血患者138例,全部进行经阴道彩超检查和病理性检查,对本组患者的临床诊断资料进行回顾性对照分析.结果 经阴道超声彩超诊断子宫内膜良性病变104例,经阴道超声彩超诊断子宫内膜恶性病变34例;病理检查诊断子宫内膜良性病变101例,病理检查诊断子宫内膜恶性病变37例.经阴道彩超诊断子宫内膜病变的敏感度为86.49%,特异度为98.02%,准确度为94.93%.结论 经阴道彩超对子宫内膜良恶性病变诊断具有十分确切的临床价值,值得临床推广使用.

目的探讨彩色多普勒超声对小儿肠系膜淋巴结炎诊断价值。方法将71例彩色多普勒超声检查诊断为肠系膜淋巴结炎患儿的淋巴结大小、数目及血流情况与33例正常组的彩色多普勒超声检查肠系膜淋巴结的情况进行统计、对比分析。结果 71例彩色多普勒超声诊断为肠系膜淋巴结炎的患儿中,5例剖腹探查诊断为阑尾炎合并阑尾周围淋巴结肿大,5例失访。余61例患儿淋巴结大小、同一切面淋巴结数目与正常组比较,差异有统计学意义(P<0.01),淋巴结内血流情况与正常组比较,差异有统计学意义(P<0.05)。结论彩色多普勒超声在肠系膜淋巴结炎的诊断中有重要的意义,是临床诊断小儿肠系膜淋巴结炎的首选辅助检查方法之一。

患儿女,3.5岁.因咳嗽1周,加重伴发热2 d入院.入院查体:双肺呼吸音粗,闻及中湿罗音;心脏各瓣膜区未闻及病理性杂音;余无特殊.胸片提示:心影扩大,右心缘膨凸,主动脉结节缩小(图1).提示先天性心脏病可能.