超声在胆囊切除术后综合征病因诊断中的价值探讨

The Clinic Value of Ultrasound in Detecting the Pathogen of Postcholecystectomy Syndrome

目的:探讨超声在胆囊切除术后综合征病因诊断中的价值。方法:回顾性分析了301例因胆囊疾病行胆囊切除或胆囊切除及胆总管探查术,术后出现不同的术前症状,包括疼痛、消化不良、甚至感染及胆道梗阻等患者的超声图像。结果:301例患者中仅66例(21.93%)肝及胆管超声表现正常,其余235例(78.07%)肝或胆管声像图均有异常表现,主要有①单纯性胆总管轻度扩张,共156例(51.82%);②胆总管及肝内胆管轻度扩张,共54例(17.94%);③胆总管扩张,胆囊区异常无回声,共23例(6.64%)。④胆总管扩张伴肝内胆管结石1例(0.33%);⑤胆总管明显扩张伴胆总管下段结石1例(0.33%)。结论:超声检查在胆囊切除术后综合征的病因诊断中有很高的实用价值。

Objective：To study the clinic value of ultrasound in detecting the pathogen of postcholecystectomy syndrome. Methods ：The ultrasonograms of 301 paticnts were reviewed,who had their gallbladder cut or common bile duct explored （because of gallstone or other diseases）and still had some clinic symptoms after operation such as abdominal pain, dyspepsia, infection or obstruction of bile duct.Results：Among 301 cases,66 cases（21.93%）showed normal ultrasonograms and 253 cases （78.07%） showed abnormal ultrasonograms of liver or bile duct.Namcly：1.156 cases with light simplex choledochectasia（51.825）;2.54 cases with light simplex cholodochectasia and intrahcpatic duct dilation（17.94%）;3.23 cases with choledochectasia and abnormal anechoic area instead of cholecyst image（6.64%）.4.1 case with choledochectasia and calculus of intrahepatic duct（0. 33% ）;5.1 case with apparent choledochectasia and calculus of the lower of common bile duct（0.33%）. Conclusion ： Uhrasound has higher clinic value in detecting the pathogen of postcholecystectomy syndrome.