贵州医科大学学报

1985, (01) 42-44+73-74

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超声实时显象测量胆囊壁厚度及其临床意义
MEASUREMENT OF GALLBLADDER-WALL THICKNESS BY ULTRASONIC REAL-TIME IMAGE AND ITS CLINICAL SIGNIFICANCE

佃雪辉;庄桂芬;杨荣勋;
Dian Xuehui (Department of Internal Medicine)

摘要(Abstract):

<正> 胆囊壁增厚为一常见的病理现象,可见于许多疾病,其中以急、慢性胆囊炎最为多见。近年来,应用超声实时显象测量胆囊壁厚度作为某些疾病的诊断依据,日益受到重视。现将我院1982年8月至1983年4月所观察的52例报告如下: 资料与方法病例选择第一组选择无肝胆疾病病史、体格检查正常者作为正常对照,共40例。年龄从13岁到70岁。第二组选择自1982年9月以来我院连续检查并经外科手术及病理检查证实为慢性胆囊炎患者30例,其中25例为慢性结石性胆囊炎。第三组选择上述期间,我院连续检查发现胆囊壁增厚在4mm以上的非胆道疾病患者,共22例。
Sonographic measurement of the size and wall thickness of the gallbladder was performed in 40 normal adult persons and 42 patients with thickening of fhe gallbladder wall, The causes of the thickening of the gallbladder wall were analy- zed. The gallbladder-wall thickness of the normal adults was≤ 3 mm (3 mm in 32. 5% and less than 2mm in 67.5%). In 42 consecutive patients with thickening of the gallbladder wall, the most frequent cause was chronic cholecysti tis (20 cases); other causes included portal cirrhosis (15), congestive heart failure(3) , hypoalbuminemia(1), amebic liver abscess(1), exudative tuberculous peritonitis(1) and malignant peritoneal mesothelioma(1) . In 30 patients with histologically proven chrolnic choecystitis the incidence of gallbladder-wall thickening was 66. 7%. As demonstrated here, increasing gallbladder-wall thickness may be regarded as a sonographic evidence suggesting the diagnosis of chronic cholecystitis, but this finding is nonspecific for chronic cholecystitis, since it has been observed in a variety of conditions not associated with inflammation of the gallbladder.

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作者(Author): 佃雪辉;庄桂芬;杨荣勋;
Dian Xuehui (Department of Internal Medicine)

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DOI: 10.19367/j.cnki.1000-2707.1985.01.012

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