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气肿性胆囊炎的CT表现及鉴别诊断 被引量:5

CT manifestations of emphysematous cholecystitis and differential diagnosis
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摘要 目的:分析气肿性胆囊炎(EC)的CT表现及鉴别诊断,提高对此病的诊断能力。方法:本组经手术及病理证实的EC共9例,8例行上腹部平扫,1例加行上腹部增强扫描。结果:1例CT表现为胆囊腔内积气,3例胆囊壁内积气,2例胆囊壁内积气合并胆囊腔内积气,另3例表现为胆囊壁积气及腹腔内游离气体、胆囊周围炎。结论:EC的特征性CT表现是胆囊积气(除外胆肠瘘),其CT表现多样,仔细观察并结合临床应能与有类似CT征象的病变相鉴别。 Objective:To analyze the CT appearances of emphysematous cholecystitis(EC) and its differential diagnosis,so as to improve the level of diagnosis.Methods:9 cases of surgery and histopathology proved EC were collected.8 cases underwent plain CT and one case received plain CT and enhanced CT scanning.Results:CT images showed air within the lumen(n=1),intramural gas of gallbladder(n=3),combination of the two above-mentioned appearances(n=2),intramural gas of gallbladder with free pneumoperitoneum and pericholecystitis(n=3).Conclusion:After cholecysto-intestinal fistula was excluded,various signs of pneumo-gallbladder are the characteristic CT features of EC.Proper diagnosis and differential diagnosis could be achieved by careful study of CT and clinical manifestations.
出处 《放射学实践》 北大核心 2011年第4期423-425,共3页 Radiologic Practice
关键词 气肿性胆囊炎 体层摄影术 X线计算机 胆囊炎 Emphysematous cholecystitis Tomography X-ray computed Cholecystitis
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