医源性胆囊结石的超声诊断价值

The diagnostic value of ulrasonography for iatrogenic gallstones

目的:探讨某些患者在治疗非胆道系统疾病期间,胆囊内形成结石的超声诊断价值。方法:分析55例非胆道系统疾病患者,在常规治疗原发病期间胆囊内形成的结石,患者在治疗原发病期间须禁食≥48h,并全部使用了头孢曲松钠抗生素。结果:55例患者中40例胆囊腔内出现直径>5mm的团状强回声,11例胆囊腔内出现直径<4mm的点状强回声,4例胆囊腔内出现细密的泥样等回声。结论:患者在禁食、使用头孢曲松钠等诱因下,胆囊内可以快速形成结石,此类结石超声检查时可提示为医源性胆囊结石。

Objective： To investigate ultrasound for certain patients in the treatment of non-biliary system diseases formation gallbladder calculus.Methods：Analysis of 55 cases with non-disease biliary system patients, in the pathogenesis of the original shape stones of the gallbladder. Results：55 cases in the treatment all use the ceftriaxone, of which 40 cases of gallbladder cavity appear diameter 〉 5 mm strong echoes, 11 cases of gallbladder cavity appear diameter 4 mm strong echoes, four cases of gallbladder cavity appear fine-grained mud-like echo. Conclusion：The patients in fasting, using ceftriaxone, gallbladder cavity can quickly forming stones, such stones may be proved by ultrasonography is iatmgenic gallstones.