急性砷化氢中毒患者胆囊病变的B超诊断价值

Diagnostic Value of B B-mode Ultrasonography in Gallbladder Disorder of Acute Arsenic Poisoning Victims

[目的]观察急性砷化氢中毒患者胆囊的B超声像图改变,探讨B超对急性砷化氢中毒合并胆囊病变的诊断价值。[方法]对确诊的38例急性砷化氢中毒患者进行常规胆囊超声检查,分析胆囊超声影像学改变。[结果]B超发现急性砷化氢中毒患者胆囊病变检出率较高,胆囊增大、胆囊壁增厚、胆囊内沉着物、胆囊内透声差、胆管扩张的检出率分别为39.5%、26.3%、13.2%、26.3%和23.7%。[结论]急性砷化氢中毒患者易发生胆囊病变,B超技术对于急性砷化氢中毒患者合并胆囊病变具有一定的诊断价值。

[ Objective ] To investigate the features of B-mode uhrasonography image of gallbladder in acute arsenic poisoning victims, and to discuss the value of ultrasonography image in diagnosing this kind of disease. [ Methods ] B-mode uhrasonography images of gallbladder in 38 acute arsenic poisoning patients were taken and analyzed. [ Results ] Wall thickening, unsmoothness, bulging lesion, and contractile dysfunction of gallbladder as well as bile ducts enlarging were observed, their positive rates were 39.5%, 26.3%, 13.2%, 26.3%, 23.7% respectively. [ Conclusion ] The acute arsenic poisoning patients usually suffer from gallbladder disorders and B-mode ultrasonography is an ideal imaging method for them to detect gallbladder disorders.