急性胰腺炎不同时期并发急性无结石性胆囊炎超声观察

Ultrasound observation of acute acalculous cholecystitis in different stages of acute pancreatitis

目的对急性胰腺炎在不同时期并发急性无结石性胆囊炎的超声表现进行探究。方法选取本院2016年2月～2017年1月收治的58例并发急性无结石性胆囊炎患者作为本次的研究对象,依据并发AAC时间是否在急性胰腺炎发病内2周为早期(28例)、中后期(30例),对两组患者的超声下表现。结果 58例患者均有发热情况,其体温均≥38.5℃,其早期组的胆囊窝积液的发生概率为96.43%(27/28);超声墨菲氏征的发生率为100%(28/28),显著较中后期组更高(P<0.05)。结论急性胰腺炎患者在不同时期可并发急性无结石性胆囊炎的超声特征亦具有差异,其囊窝积液的发病率在疾病早期较高,于中后期出现胆囊壁厚的概率更高。

Objective To The acute pancreatitis at different stages of acute acalculous cholecystitis ultrasound findings. Methods Fiftyeight patients with acute acalculous cholecystitis admitted to our hospital were selected as the subjects of this study. According to whether the concurrent AAC time is early within 2 weeks after the onset of acute pancreatitis between February 2016 and January 2017 （28 cases）, the late （30 cases）, the performance of the two groups of patients under ultrasound. Results 58 patients had fever, the body temperature were ≥ 38.5℃, the incidence of gallbladder fossa in the early group was 96.43% （27/28）; ultrasound Murphy＇s sign was 100% （28/28）, Significantly higher than the late group（P〈 0.05）.Conclusion The characteristics of ultrasound in patients with acute pancreatitis complicated with acute acalculous cholecystitis also differ in different periods. The incidence of cystic effusion in the early stages of the disease is higher, and the probability of gallbladder wall thickness is high- er in the middle and late stages.