残存胆囊21例的超声诊断

发布时间：2018-12-20 06:32

【摘要】：目的探讨超声在残存胆囊诊断中的作用和临床应用价值。方法分析21例残存胆囊的超声表现,结合残存胆囊的病因,总结残存胆囊的超声影像特征及诊断中的注意事项。结果 21例均经超声检查(或联合内镜造影检查)被诊断为残存胆囊,包括胆囊管残留11例、胆囊管残留并残留结石4例、残端小胆囊并残留结石6例。超声检查结果显示:11例胆囊窝部位见无回声区,囊状,较为规则,形似胆囊;大小1.8 cm×1.0 cm~4.5 cm×3.0 cm,边界清晰、壁厚(0.3~0.5 cm),不光滑;其中10例显示有残留的结石。1例于囊内可见强回声,长度0.4~0.8 cm,后方伴声影。2例于囊内可探及不规则低回声团。4例囊壁光滑,囊腔内未探及异常回声。3例超声检查未提示胆囊区域存在异常回声。患者均经再次择期手术治疗后痊愈。结论超声检查可较好地诊断残存胆囊,对于及时发现和防治胆囊切除术后残存胆囊等并发症具有重要临床意义。
[Abstract]:Objective to evaluate the value of ultrasonography in the diagnosis of residual gallbladder. Methods the ultrasonic findings of 21 patients with residual gallbladder were analyzed. The ultrasonic imaging features of residual gallbladder and the precautions in diagnosis were summarized in combination with the etiology of residual gallbladder. Results all 21 cases were diagnosed as residual gallbladder by ultrasonography (or combined with endoscopic examination), including 11 cases of residual gallbladder duct, 4 cases of residual gallbladder duct with residual stone, 6 cases of small stump gallbladder with residual stone. The results of ultrasonic examination showed that the cystic fossa in 11 cases had anechoic area, cystic shape, regular shape, clear boundary of 1.8 cm 脳 1. 0 cm~4.5 cm 脳 3. 0 cm, and not smooth wall thickness (0. 3 ~ 0. 5 cm), and the size of 1. 8 cm 脳 1. 0 cm~4.5 cm 脳 3. 0 cm, was not smooth. Among them, 10 cases showed residual stones, 1 case showed strong echo in the capsule, followed by sound shadow after 0.4 cm, in length, 2 cases showed irregular hypoechoic mass in the capsule, 4 cases had smooth wall. No abnormal echo was detected in the cystic cavity and abnormal echo was not detected in 3 cases. All the patients were cured after selective operation. Conclusion Ultrasonic examination can diagnose the residual gallbladder and has important clinical significance for the timely detection and prevention of complications such as residual gallbladder after cholecystectomy.
【作者单位】：北京市普仁医院超声诊断科;
【分类号】：R657.4;R445.1

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