Analysis type of ultrasound of live and biliary system in Chun district, Phayao province

Abstract

                Chun district, Phayao province, has a high amount of death from liver and bile duct cancer. These reasons are the number one cause of death. It found that the number of death at 26, 30, and 32 for each year per 100,000 population, respectively. Chun Hospital has been screening for liver and bile duct cancer since 2017-2019. Data was collected by ultrasound screening pictures of liver and bile duct cancer in an account of CASCAP (Cholangiocarcinoma screening and care program). It aims to be used to protect risk patients who assume to have liver and bile duct cancer. Therefore, they can treat liver and bile duct cancer from an early stage. This research is descriptive research by using previous data of population aged over or equal 40 years old and lived in Chun district. The results found that 659 patients with 37.94% males and 62.06% of females graduated from primary degree and worked on agriculture. They used to inspect the stool. They have never received treatment with liver fluke. They do not have relatives with liver and bile duct cancer. They do not have hepatitis B. They are not alcoholism, do not smoke, drink alcohol, and have ever eaten raw fish. The ultrasound result found that there are 66.31% normal and 33.69% abnormal. Bile duct abnormality is divided into periductal fibrosis (PDF). For PDF1, there is 19.42%. For PDF2, there is 0.76%. For PDF3, there is 0.15%. The conclusion found that the risk patients in Chun district at 26,436 persons have ultrasound screened at 659 persons or 2.50% of the population in the area. Liver and bile duct abnormality was detected at 33.69% of the risk population in the district. These persons are those who have a risk of having liver and bile duct cancer.