口服胃肠道造影剂超声造影诊断胆囊十二指肠瘘  

Ultrasonographic diagnosis of cholecystoduodenal fistula with oral gastrointestinal contrast medium

作　　者：裴峰[1] 刘玉祥[2] 章菲菲[3] 李娜[1] 姜绪平[2] 顾斌[4] 

机构地区：[1]中国人民武装警察部队上海市总队医院超声科,上海201103 [2]中国人民武装警察部队上海市总队医院普通外科,上海201103 [3]中国人民武装警察部队上海市总队医院消化内科,上海201103 [4]中国人民武装警察部队上海市总队卫生处,上海201103

出　　处：《中国医学影像技术》2010年第7期1293-1295,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨超声检查对胆囊十二指肠瘘的诊断价值。方法 23例结石性胆囊炎患者术前常规超声检查怀疑并发胆囊十二指肠瘘,在常规超声检查的基础上进一步接受超声造影检查。口服胃肠道造影剂动态观察有无胆囊十二指肠瘘,并与手术结果对照。超声造影诊断胆囊十二指肠瘘的标准是动态观察可见造影剂经瘘口进入胆囊。结果 23例患者中,口服胃肠道超声造影剂动态观察可见18例患者十二指肠内造影剂经瘘口进入胆囊,手术证实均有胆囊十二指肠瘘;未见造影剂进入胆囊者5例,手术证实有胆囊十二指肠瘘的2例、无胆囊十二指肠瘘的3例。结论在常规超声检查的基础上,口服胃肠道超声造影剂动态观察的方法简易可行、无创、准确性较高,是诊断胆囊十二指肠瘘的有效方法 。Objective To explore the value of ultrasonography diagnosis of cholecystoduodenal fistula （CDF） with oral gastrointestinal contrast medium. Methods Twenty-three patients with calculous cholecystitis were suspected of CDF with preoperative routine ultrasonography. On the basis of preoperative routine ultrasonography,oral gastrointestinal （GI） ultrasound contrast medium was infused to dynamically observe the presence or absence of CDF,and the results were compared with the operative findings. The criterion for ultrasonic diagnosis of CDF was dynamic observation of the contrast medium entering the gallbladder through the fistula orifice. Results Of 23 enrolled patients,oral GI contrast medium in the duodenum was seen entering the gallbladder through the fistula orifice in 18 patients （78.26%）,and all of them were later confirmed as CDF in operation. In the remaining 5 patients,no GI ultrasound contrast medium was seen entering the gallbladder,2 of them were confirmed by surgery with CDF and 3 without CDF. Conclusion On the basis of routine ultrasonography,dynamic observation through oral infusion of GI ultrasound contrast medium is a simple,non-invasive and effective method of diagnosing CDF.

关 键 词：超声检查 胆囊十二指肠瘘 造影剂 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575.61[医药卫生—诊断学]