超声对急性坏疽性胆囊炎的早期诊断(附20例病例分析)

The Early Diagnosis of Acute Gangrenous Cholecystisis by B-mode Ultrasonography

目的 :探讨急性坏疽性胆囊炎的早期超声图像特点及其对临床诊断、治疗的意义。方法 :回顾2 0例经手术病理证实的急性坏疽性胆囊炎早期超声图像特点及临床表现并进行分析研究。结果 :急性坏疽性胆囊炎的早期超声图像特点为 :胆囊极度肿大 ,宽径比长径增大更明显 ,胆囊张力极高 ;胆囊壁增厚、粗糙 ,可发生局限性增厚 ,胆囊与肝之间有条索状的细的液性暗区 ,胆囊内有稠厚的胆汁或脓汁 ,多数伴有胆囊结石、慢性胆囊炎。结论 :超声检查对急性坏疽性胆囊炎早期诊断有重要的价值 。

Objective: To explore the significance of B-mode ultrasonography on theearly diagnosis and therapy of acute gangrenous cholecystisis (AGC). Methods: 20 acute gangrenous cholecystitis (AGC) cases diagnosed by ultrasonography and confirmed by operation were reviewed. Results: The charateristics of the B-mode ultrasongraphy of AGC were: the gall bladder enlargements as a whole with wider diameter than longitudinal, tensive swelling, thickening and roughening of the wall, pus or even stone within, presence of hypochoic line between the gall basdder wall and liber, in addition to the clinical symptoms and signs all these constitute the diagnostic ingormations of AGC.Conclusion: The early diagnosis of AGC by B-mode ultrosonography is very important for its therapy.