胆囊切除术后残余胆囊的声像图研究  

Ultrasonographic Study on Residual Gallbladder After Cholecystec tomy

作　　者：柏宁野[1] 周宏良[1] 张华玲[1] 禹月琴[1] 樊庆洋[2] 

机构地区：[1]上海市第二人民医院超声科,上海市200011 [2]淮北矿工总医院普外科

出　　处：《中国超声医学杂志》2003年第10期766-768,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :探讨胆囊切除术后残余胆囊的声像图 ,分析其形成原因。方法 :对 3 7例残余胆囊的术前、术后声像图对比分析 ,设对照组对其胆总管进行测量及统计学分析。结果 :萎缩性胆囊炎术后发生残余胆囊概率较高 ,残余胆囊结石复发率 86.2 % (2 5/ 2 9) ,残余胆囊组的胆总管宽度大于对照组 (P=0 .0 0 0 1)。结论Objective:To investigate the ultrason ographic characteristics and pathogenesis of the residual gallbladder Methods:The ultrasonographic characteristics of 37 cases with residual gallbladder were analysed and compared with that of preoperative u ltrasonography(1:1 match) Measurements of the internal diameter of common bile duct were performed in 37 cases with residual gallbladder and 37 cases of contro ls without residual gallbladder after cholecystectomy Results:There were high probability of occurrenc of residu al gallbladder in atrophic cholecystitis postoperatively,and recurrence of gallb ladder stones occurred in 86 2% residual gallbladder There was statistically s ignificant difference in the internal diameter of common bile duct between the r esidual gallbladder group and control group Conclusions:It is suggested that ultrasonographic study is valuable in the diagnosis and prevention of residual gallbladder

关 键 词：胆囊切除术 残余胆囊 声像图 萎缩性胆囊炎 胆管扩张 

分 类 号：R445.1[医药卫生—影像医学与核医学]