超声对胆囊壁增厚的诊断与鉴别价值

Ultrasound Diagnosis and Differentiation of Gallbladder Wall Thickening

目的探讨各型胆囊壁增厚的声像图特征及鉴别诊断价值。方法应用超声检测分析276例胆囊壁增厚声像图,分胆囊疾病性和非胆囊疾病性,按其胆囊壁增厚的不同程度分轻、中、重度。结果胆囊疾病引起的胆囊壁增厚155例(56%),主要疾病有:胆囊炎、胆囊腺肌增生症和胆囊癌,其中轻度增厚72例(46.4%),中度57例(36.6%),重度26例(17%);非胆囊疾病引起的胆囊壁增厚121例(44%),主要疾病有:急性病毒性肝炎、肝硬化、慢性心力衰竭和慢性肾炎,其中轻度增厚23例(19%),中度45例(37.2%),重度53例(43.8%)。胆囊疾病组与非胆囊疾病组的胆囊壁增厚轻度、重度二组相比较有显著性差异(P<0.05)。结论超声对胆囊壁增厚的原因判断具有重要的诊断与鉴别价值。

Objective To study the ultrasonic features and differential diagnostic role of gallbladder wall thickening （GBWT） . Methods Ultrasonic features in 276 cases with GBWT were analyzed retrospectively and were classified into 3 types （mild, moderate and severe） in terms of its thickness. Results In colecystic wall thickened cases （155, 155/276, 56 % ） caused by native cholecysti diseases., cholecystitis, cholecystitis grandularis proliferans and cholecystic cancer. In 155 cases, 72 cases （46.4%, 72/155）, 57 cases （36.6%） and 26 cases （17%） were scored as mild, moderate and severe wall thickening. In the non colecystic group, 121 （44%, 121/ 276） cases caused by non-cholecystic diseases： acute viral hepatitis, liver cirrhosis, congestive heart failure and chronic glomerulonephritis, In the 121 cases, 23 cases （19%, 23/121）, 45 cases （37.2%） and 53 cases （43.8%） of them were classified as mild, moderate and severe wall thickening respectively. There were significant statistic differences between cholecystic and non-cholecystic disease group （P〈0.05） concerning the mild and severe wall thickening. Conclusions To find the causes of GBWT on ultrasonography may be helpful for diagnosis and differentiation of gallblader diseases.