摘要
目的探讨各型胆囊壁增厚的声像图特征及鉴别诊断价值。方法应用超声检测分析276例胆囊壁增厚声像图,分胆囊疾病性和非胆囊疾病性,按其胆囊壁增厚的不同程度分轻、中、重度。结果胆囊疾病引起的胆囊壁增厚155例(56%),主要疾病有:胆囊炎、胆囊腺肌增生症和胆囊癌,其中轻度增厚72例(46.4%),中度57例(36.6%),重度26例(17%);非胆囊疾病引起的胆囊壁增厚121例(44%),主要疾病有:急性病毒性肝炎、肝硬化、慢性心力衰竭和慢性肾炎,其中轻度增厚23例(19%),中度45例(37.2%),重度53例(43.8%)。胆囊疾病组与非胆囊疾病组的胆囊壁增厚轻度、重度二组相比较有显著性差异(P<0.05)。结论超声对胆囊壁增厚的原因判断具有重要的诊断与鉴别价值。
Objective To study the ultrasonic features and differential diagnostic role of gallbladder wall thickening （GBWT） . Methods Ultrasonic features in 276 cases with GBWT were analyzed retrospectively and were classified into 3 types （mild, moderate and severe） in terms of its thickness. Results In colecystic wall thickened cases （155, 155/276, 56 % ） caused by native cholecysti diseases., cholecystitis, cholecystitis grandularis proliferans and cholecystic cancer. In 155 cases, 72 cases （46.4%, 72/155）, 57 cases （36.6%） and 26 cases （17%） were scored as mild, moderate and severe wall thickening. In the non colecystic group, 121 （44%, 121/ 276） cases caused by non-cholecystic diseases： acute viral hepatitis, liver cirrhosis, congestive heart failure and chronic glomerulonephritis, In the 121 cases, 23 cases （19%, 23/121）, 45 cases （37.2%） and 53 cases （43.8%） of them were classified as mild, moderate and severe wall thickening respectively. There were significant statistic differences between cholecystic and non-cholecystic disease group （P〈0.05） concerning the mild and severe wall thickening. Conclusions To find the causes of GBWT on ultrasonography may be helpful for diagnosis and differentiation of gallblader diseases.
出处
《中国超声诊断杂志》
2006年第10期739-741,共3页
Chinese Journal of Ultrasound Diagnosis
关键词
超声
胆囊壁增厚
诊断
鉴别诊断
Ultrasonography, Gallbladder wall thickening, Diagnosis, Differentiation.
