超声诊断胆囊壁弥漫性增厚性疾病体会.docVIP

超声诊断胆囊壁弥漫性增厚性疾病体会 　　【中图分类号】：R445.1【文献标识码】：A 　　【文章编号】： 1004-597X(2007)12-0096-02 　　【摘要】 本文回顾性对58例胆囊壁弥漫性增厚患者进行总结和分析，以探讨胆囊壁弥漫性增厚性疾病的诊断及鉴别诊断。其中胆囊炎32例，胆囊癌8例，胆囊腺肌增生症18例。文中分别描述了上述几种疾病的二维图像特征、彩色多普勒血流及脂餐试验情况。结果表明，脂餐试验显示胆囊炎及胆囊癌胆囊收缩功能减退或消失，胆囊腺肌增生症则胆囊收缩功能亢进。彩色多普勒显示胆囊癌囊壁彩色血流信号丰富，而胆囊炎及胆囊腺肌增生症囊壁血流信号不丰富。? 　　【关键词】 胆囊壁弥漫性增厚；脂餐试验；彩色多普勒超声? 　　 　　Ultrasound diagnosis gallbladder wall filling the air accumulation disease experience? 　　XU Ying? 　　【Abstract】his article reviews the nature to carry on the summary and the analysis to 58 examples gallbladders wall filling the air accumulation patient, discusses the gallbladder wall filling the air accumulation disease the diagnosis and the distinction diagnosis. Cholecystitus 32 examples, gallbladder8 examples, gallbladder gland myo- proliferation sickness 18 examples. In the article separately described the above several kind of diseases two-dimensional picture characteristic, the colored Doppler blood stream and the fat meal experiment situation. The result indicated that, the fat meal experiment demonstration cholecystitus and the gallbladder gallbladder contraction function dops or vanishes, gallbladder gland myo- proliferation sickness then gallbladder contraction function hyperfunction. Colored Doppler demonstrated the gallbladderpouch wall colored blood stream signal is rich, but the cholecystitus and the gallbladder gland myo- proliferation sickness pouch wall blood stream signal is not rich. ? 　　 【key word】 gallbladder wall filling the air accumulation; Fat meal experiment; Colored Doppler supersonic 　　 　　本文总结了近三年经我院彩超室检诊的胆囊壁弥漫性增厚性疾病包括胆囊炎、胆囊癌（厚壁型）及胆囊腺肌增生 　　症共58例，现报告如下。? 　　 　　1 资料与方法? 　　 　　全部病例均经手术和病理证实。其中胆囊炎32例，胆囊癌（厚壁型）8例，胆囊腺肌增生症18例。患者年龄25-55岁，???均38岁。? 　　使用仪器GE LOJIQ 400彩色多普勒超声诊断仪，凸阵探头，频率3.5MHZ。观察胆囊形态及胆囊壁浆膜层连续性，常规测量胆囊大小及囊壁厚度，观察胆囊腔内有无强回声光团及囊壁上有无附壁强光点。行脂餐试验，观察胆囊 　　收缩功能。彩色多普勒检测时，观察胆囊壁内血流信号是否丰富。? 　　 　　2 结果? 　　 　　胆囊炎32例中，胆囊壁弥漫性增厚，呈等回声或稍强回声。其中浆膜层连续完整28例，浆膜层回声带模糊4例。胆囊增大者13例，缩小者15例，大小正常者4例。合并有胆结石25例，胆囊腔内可见中等或较弱的沉积性光团17例