肝硬化腹水和癌性腹水胆囊声像图研究  

Value of Callbladder Sonography in Diagnosis of Malignant and Cirrhotic Ascites

作　　者：刘永革[1] 易粹琼[1] 李昌三 王新房[1] 

机构地区：[1]同济医科大学附属协和医院消化科

出　　处：《中华超声影像学杂志》1994年第2期59-60,共2页Chinese Journal of Ultrasonography

摘　　要：２８例肝硬化腹水和１６例转移癌性腹水进行Ｂ型超声检查比较其胆囊声像图的改变，认为腹水中胆囊壁回声有助于二种腹水的鉴别，胆囊壁不增厚多见于转移癌性腹水，而胆囊壁单纯增厚和“双边影”胆囊壁多见于肝硬化腹水。胆囊壁呈“双边影”增厚尚可能提示合并门脉高压的存在。Twenty-eight patients with cirrhotic ascites and sixteen patients of ascites associated with malignancy were investigated by sonographic study of the gallbladder wall. It suggests that sonographic examination of the gallbladder wall in ascites is useful in differentiating malignant from cirrhotic ascites Single-layered, nonthickened was found more frequently in patients with malignant ascites, while single-layered thickened and double-layered, thickened were detected more frequently in patients with cirrhotic ascites. Double-layered, thickened wall of gallbladder may denote the existence of hypertension.

关 键 词：腹水 胆囊 声像图 肝硬变 肿瘤 

分 类 号：R442.5[医药卫生—诊断学]