超声在诊断先天性双胆囊畸形中的应用价值  

The application of ultrasound in the diagnosis of congenital double gallbladder

作　　者：朱占领 王兴峰[1] 侍艳 霍晓[1] 孙金孝 

机构地区：[1]江苏省灌云县人民医院超声科,222200 [2]江苏省健康评估与干预研究中心

出　　处：《山西医药杂志》2016年第19期2219-2221,共3页Shanxi Medical Journal

基　　金：江苏省卫生厅科研课题(B2013073);江苏省太湖干部疗养院科技项目(ZL201406)

摘　　要：目的探讨先天性双胆囊畸形的超声特征及误诊分析。方法回顾性分析我院超声诊断双胆囊畸形10例,均行磁共振胰胆管成像检查(MRCP)。结果 MRCP证实双胆囊畸形7例,2例呈Y型,主胆囊与副胆囊位于肝总管两侧;5例呈H型,副胆囊体积较小,副胆囊颈管与肝管呈平行管征;7例主胆囊均位于胆囊窝区,1例伴结石,副胆囊均位于肝门处肝管周围,内均见结石;超声误诊3例,1例为分隔胆囊,1例为双房胆囊,1例胆囊皱折。结论双胆囊畸形临床较少见,超声可以多方位多角度显示胆囊数目、位置、形态及附属管道发育情况,为术前提供重要信息。Objective To investigate the imaging characteristics of congenital double gallbladder with ultra-sound ,and to analyze the causes of misdiagnosis .Methods We retrospectively analyzed 10 cases of double gall-bladder malformation diagnosed by ultrasound in our hospital ,and all patients underwent magnetic resonance cholangiopancreatography （MRCP） .Results MRCP confirmed that 7 cases had double gallbladder deformity ：2 cases showed Y type ,the main gallbladder and the accessory gallbladder were located on both sides of the hepatic duct ;5 cases showed H type ,accessory gallbladder volume was smaller ,accessory gallbladder neck tube and he-patic duct were sign of parallel tube ;7 cases of primary gallbladder were in the gallbladder fossa ,1 case with stones ,accessory gallbladder were located around the tube in hepatic porta ,stone were seen inside;3 cases were misdiagnosed ：1 case of separated gallbladder ,1 case of double real gallbladder ,1 cases of gallbladder fold .Con-clusion Double gallbladder malformation is rare in clinic .The number ,location ,shape ,and the development of the accessory ducts can be displayed by ultrasound ,which can provide important information for the operation .

关 键 词：超声检查 先天性畸形 双胆囊 

分 类 号：R657.4[医药卫生—外科学]