16例胆囊内瘘的超声诊断分析  

Ultrasonic Diagnosis of 16 cases of Cholecysto-gastrointstinal Fistulae

作　　者：陈骅[1] 刘凤娥[1] 刘宁军[1] 鲍宜霞[1] 冯军[1] 

机构地区：[1]江苏省无锡市第二人民医院超声检查室,214002

出　　处：《临床超声医学杂志》2000年第3期137-139,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的　探讨胆囊内瘘术前超声诊断。方法　对 16例经手术证实为胆囊内瘘的超声资料作回顾性分析。结果　 16例胆囊内瘘中 14例 ( 87%)超声提示慢性萎缩性胆囊炎、胆囊结石 ,而术前超声提示胆囊内瘘 7例 ,诊断正确率 44%。胆囊内瘘声像图较为复杂 ,有如下声像学特征 :直接特征 :1 胆囊部位团块状“实变样”强回声 ,后方无声影或有类“靶环征”图像 ;2 胆囊萎缩或显示不清。间接征象 :胆道积气。Objective To evaluate the preoperative diagnostic value of ultrasound for cholecysto-gastrointestinal fistulae Methods Sixteen patients with cholecysto-gastrointestinal fistulae confirmed by operations were studied by ultrasonic image analysis retrospectively Results Fourteen of 16 cases(87%)were detected as chronic atrophic cholecystitis with cholecystolithiasis by ultrasound Cholecysto-gastrointestinal fistulae were only found 7 in 16 cases preoperatively,and accuracy of ultrasonic finding was 44% Conclusion Ultrasonic images of cholecysto-gastrointestinal fistulae were complicated and could be classfied into two groups:direct and indirect characteristics Direct characterstics included:1 It presented at gallbladder fossae a mass-like solid area,strong echo gram without acoustic shadow or sign similar to bull's eye sign;2 Gallbladder was detected as atrophia or obscurity Indirect sign was pneumobilia When one or two signs of direct characterstics and indirect characterstics appeared,the diagnoses of cholecysto-gastrointstinal fistulae were made sure

关 键 词：超声波诊断 胆囊内瘘 图像分析 

分 类 号：R657.404[医药卫生—外科学] R445.1[医药卫生—临床医学]