B超诊断无症状胆囊结石及临床意义  

Diagnosis of Symptomless Cholecystolithiasis by Ultrasonograph and Clinical Significance

作　　者：张小曼[1] 

机构地区：[1]广东省广州市第一人民医院功能检查科,广东广州510180

出　　处：《河北医学》2008年第6期690-692,共3页Hebei Medicine

摘　　要：目的:用B型超声检查探讨无临床症状胆囊结石的预后。方法:300例健康体检中发现的无临床症状的胆囊结石患者,用B型超声对其追踪观察10年,并将胆石的声像图表现与其发生的临床并发症进行对照分析。结果:Ⅰ型胆石症60例中仅3例(5.0%)出现需择期手术切除的临床并发症;Ⅱ型胆石症120例中36例(30.0%)出现各类临床并发症,其中23例(19.1%)出现了需急诊手术治疗的严重临床并发症;Ⅲ型结石症50例中25例(50.0%)出现各类临床并发症,但仅2例(4.0%)属于需急诊手术治疗的严重并发症;Ⅳ型结石症70例中仅15例(21.2%)因一般临床症状而择期手术切除治疗。结论:B型超声通过对无临床症状胆囊结石的大小、数量和胆结石在胆汁中的比重等分析,可初步推断这类胆石症的预后。Objective：To approach prognosis of the symptomless cholecystolithiasis by uhrasonograph. Method： 300 cases symptomless cholecystolithiasis patient were collected, follow- up observation 10 years by ultrasonograph, and cross -check analysis with sonographic and clinical complication. Result： 3 cases in 60 patients of I-type cholelithiasis （5.0%） occurrence selective operation clinical complication ; 36 cases in 120 patients of Ⅱ-type cholelithiasis（30.0 % ） occurrence different kinds of clinical complication, and 23 cases of patient need emergency operation. 25 cases in 50 patients of Ⅲ-type cholelithiasis （ 50.0% ） occurrence different kinds of clinical complication,but just 2 cases （4.0%） need emergency ooeration. 15 cases in 70 patients of Ⅳ-type cholelithiasis（21.2% ） need selective operation caused lay generat clinical symptoms. Conclusion： Ultrasonograph can deduction the prognosis of the symptomless cholecystolithiasis by analyzing the size and quantity of the cholecystolithiasis and specific density of gallstone relative to bile.

关 键 词：B型超声 无症状胆囊结石 

分 类 号：R657.4[医药卫生—外科学] R445.1[医药卫生—临床医学]