急性气肿性胆囊炎6例CT诊断  

CT Appearances of 6 Cases of Acute Emphysematous Cholecystitis

作　　者：吴越[1] 杨本强[1] 刘文源[1] 邹明宇[1] 

机构地区：[1]沈阳军区总医院放射诊断科,辽宁沈阳110016

出　　处：《创伤与急危重病医学》2014年第5期314-315,317,共3页Trauma and Critical Care Medicine

摘　　要：目的分析气肿性胆囊炎的CT表现,提高诊断水平。方法回顾性分析本组经手术及病理证实的6例气肿性胆囊炎,所有病例术前均行CT扫描。结果 1例CT表现为胆囊腔内积气,2例CT表现为胆囊壁内积气,3例CT表现为胆囊壁内及胆囊腔内积气合并腹腔游离气体。结论 CT检查能够明确诊断气肿性胆囊炎,是该病首选的影像学方法。Objective To analyze the CT appearances of emphysematous cholecystitis （EC）, so as to improve the level of diagnosis. Methods 6 cases of surgery and histopathology proved EC were retrospectivly analyzed. CT scanning before surgery were performed in all 6 cases. Results CT image showed air within the lumen in 1 case,2 cases within the gallbladder, and 3 cases of CT signs manifested combination of the two above-mentioned appearances accompanied with free pneumoperitoneum. Conclusion CT scanning may contribute to diagnosis the disease of EC definitely, and is the perferred method of imaging.

关 键 词：胆囊炎 急性气肿性 CT诊断 

分 类 号：R657.41[医药卫生—外科学] R816[医药卫生—临床医学]