胆囊管结石的声像图分析及其诊断价值

Sonographic analysis and diagnostic value of cystic duct lithes

目的分析彩超在胆囊管结石临床诊疗中的价值。方法采用回顾性分析方法对我院2009年7月～2010年7月52例胆囊管结石患者的声像图进行分析。结果 52例患者的声像图表现为胆囊明显肿大,且扩张的胆囊管内强回声团,后方伴有或不伴有声影。对于临床怀疑而超声图像又未显示有胆囊管结石的患者,可通过采用饮水法、体位法及脂餐法等辅助显示方法以助诊断。结论彩超检查时多种检查方法联合应用,有助于胆囊管结石的诊断与鉴别,可提高胆囊管结石的检出率。

Objective To analyze the clinical value of color doppler ultrasound in the diagnosis of cystic duct lithes. Methods The sonographie appearances of 52 cases with cystic duct lithes in our hospital from July 2009 to July 2010 were retrospectively analyzed and summarized. Results The sonographic appearances of 52 cases with cystic duct lithes showed that marked enlargement of cholecyst, dense-echo mass in the expansion of the cystic duct,and with or with no shadows in posterior. The body position,drinking water and＇fatty, meal Were adopted to diagnose some patients with cystic duct lithes clinical suspected and no showed in sonographic appearances. Conclusion Combination of some examination methods in color doppler uhrasonography help to the diagnosis and differential diagnosis of cystic duct lithes, make the diagnosie sensitivitv of cystic duct lithes imnroved.