摘要
目的:分析黄色肉芽肿性胆囊炎二维超声及超声造影的影像学特征。方法:收集近3年内经手术及病理证实为黄色肉芽肿性胆囊炎的15例病例资料,回顾性分析其二维超声及超声造影特征。结果:黄色肉芽肿性胆囊炎二维超声表现为胆囊壁弥漫性增厚7例(47%),胆囊壁局部增厚2例(13%),结节样病灶5例(33%);合并胆囊结石13例(87%),胆囊颈部结石嵌顿6例(40%);伴有胆汁浑浊、胆泥形成7例(47%);内镜下逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)术后并发的黄色肉芽肿性胆囊炎表现为胆囊壁显著增厚[(12.55±6.36)mm],伴有胆囊结石、胆泥形成。注射造影剂后3例病灶显影稍晚于胆囊壁,显影强度低于肝组织。结论:黄色肉芽肿性胆囊炎二维超声及超声造影有一定特征性表现。
Objective： To analyze the ultrasonic and contrast-enhanced ultrasonic characteristics of xanthogranulomatous cholecystitis（XGC）. Methods： Totally 15 cases of XGC confirmed by surgical pathology in the last 3 years were reviewed and their ultrasonic and contrast-enhanced ultrasonic data were retrospectively analyzed. Results： Seven cases had diffuse gallbladder wall thickening in（47%）, 2 had local thickening（13%）, 5 had nodular lesions（33%）. There were 13 cases combined with gallstones（87%）, 6 with gallbladder calculi incarceration（40%）, 7 turbid bile, and biliary sludge formation（47%）. The gallbladder walls of XGC after endoscopic retrograde cholangiopancreatography（ERCP） were thickened obviously [（12.55±6.36） mm], accompanied by gallstone and biliary sludge formation. After the injection of Sono Vue, the lesion of XGC was vasualized later than normal gallbladder walls in 3 cases, and the intensity of enhancement was lower than liver tissues. Conclusion： The ultrasonic and contrast-enhanced ultrasonic features of XGC have clinical significance.
作者
贾超
刘龙
金利芳
邵春娟
王晶
杜联芳
JIA Chao;LIU Long;JIN Lifang;SHAO Chunjuan;WANG Jing;DU Lianfang(Department of Ultrasound,Shanghai General Hospital,Shanghai Jiao Tong University,Shanghai 201620,China;Department of Pathology,Shanghai General Hospital,Shanghai Jiao Tong University,Shanghai 201620,China)
出处
《肿瘤影像学》
2018年第3期203-206,共4页
Oncoradiology
关键词
黄色肉芽肿性胆囊炎
超声
超声造影
Xanthogranulomatous cholecystitis
Ultrasound
Contrast-enhanced ultrasound
