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The role of ultrasound examination in the diagnosis of pericholecystic abscess
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摘要: 目的探讨超声影像技术在胆囊周围脓肿(简称囊周脓肿)诊断中的价值。方法使用彩色多普勒超声诊断仪,对经临床证实的囊周脓肿的63例行各种切面扫查。详细观察胆囊炎性改变情况,囊周脓肿的大小、形态、范围及回声情况,脓肿与毗邻组织脏器间的关系等,将异常所见摄片记录。结果 63例中接受手术治疗45例,术中发现与囊周组织均有不同程度的粘连。囊周脓肿术前超声诊断与手术所见基本符合率100%(34/34),脓肿对囊周组织器官的炎性粘连、包裹,超声判定与术后诊断基本符合率为82.35%(28/34)。结论超声对囊周脓肿具有较高诊断价值。
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关键词:
- 胆囊疾病 /
- 脓肿 /
- 超声检查,多普勒,彩色
Abstract: Objective To explore the value of ultrasound examination in the diagnosis of pericholecystic abscess.Methods Sixty-three patients with clinically proved pericholecystic abscess were undergone color Doppler ultrasound examination.The changes in size, shape, scope of pericholecystic abscess, and the relationship between abscess and adjacent organs were assessed.Results Surgery was performed for 45 patients.Cystic tissue adhesion was seen during the surgery.There was a 100% (34 /34) similarity between the findings of the ultrasound and surgery in diagnosing pericholecystic abscess.Furthermore, the similarity between ultrasound and surgery in diagnosing peribilary and inflammatory adhesion was 82.35% (28/34) .Conclusion Ultrasound examination has important diagnostic value in pericholecystic abscess.-
Key words:
- gallbladder diseases /
- abscess /
- ultrasonography
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[1] 曹海根, 王金锐.使用腹部超声诊断学[M].第2版.人民卫生出版社, 2006∶115-118. [2]熊清裕, 邓剑玲, 张根娥.超声诊断胆囊穿孔的应用价值[J].临床超声医学杂志, 2006, 8 (10) ∶616-618. [3]徐高楠, 时伟, 陈杰峰, 等.胆-肝局灶性细菌性肝炎的超声诊断[J].临床肝胆病杂志, 2008, 24 (1) ∶53-55. -
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