Ultrasound variables of diagnostic value in liver cirrhosis
Keywords:
liver cirrhosis, liver disease, liver insufficiency, portal hypertensionAbstract
Introduction: liver cirrhosis is considered a global health problem. In Cuba, it is among the ten leading causes of death with an upward trend.
Objective: to describe some useful ultrasound variables in the diagnosis of liver cirrhosis in patients with liver disease.
Methods: a cross-sectional study was carried out between May 2015 and April 2018 on 60 patients with chronic liver disease treated at the Ciego de Ávila Hospital, who met the inclusion criteria. For the diagnosis of liver cirrhosis, the Harbin and Hess coefficients were used. Ethical principles were met.
Results: male patients predominated (78,33 %), from the group of 60 years and over (48,33 %). Most of the cirrhotic patients had decreased liver size (61,29 %), with nodular echostructure (77,42 %), and some sign of portal hypertension; the third part presented liver nodules (77,50 %). Non-cirrhotic patients had normal (51,72 %) or enlarged (48,28 %) livers, their liver echostructures were predominantly homogeneous (89,66 %) and no nodules were identified. The positivity of the Harbin and Hess indices predominated in the cirrhotic patients (77,42 % and 64,52 %, respectively). The results of both ratios in non-cirrhotic patients were negative.
Conclusions: the most frequent ultrasound variables in cirrhotic patients were useful to characterize the disease. Together with the results of the Hess and Harbin ratios, they added useful evidence for the diagnosisDownloads
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