胆囊声像图在肝硬化腹水与癌性腹水中的对比
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【摘要】目的探讨肝硬化腹水与癌性腹水的不同胆囊声像图特征。方法对60例肝硬化腹水患者和60例转移癌性腹水患者进行超声检查，比较其胆囊声像图的改变。结果胆囊壁增厚及肠管漂浮征的观察中，肝硬化腹水和癌性腹水两组比较差异有统计学意义(P<0.01)。结论 声像图胆囊壁回声增厚呈“双边影”和肠管漂浮征可以作为判断肝硬化漏出性腹水的可靠依据。癌性腹水胆囊壁不增厚，多为转移性腹水，同时多伴有肠管束缚征。
【关键词】胆囊；声像图；腹水
Comparison of gallbladder sonography in diagnosis of carcinogenic and cirrhotic Ascites SHEN Wei-xing，GUO Xi-kai，MA Hai-bo.The Peoples Hospital of Pingshun, Pingshun 047400, China
【Abstract】ObjectiveTo demonstrate the efficacy of gallbladder sonography in the case of differentiating carcinogenic ascites from cirrhotic ascites.MethodsSixty patients with cirrhotic ascites and sixty patients with carcinogenic ascites were investigated by using sonographic comparison of the gallbladder.ResultsIn the observation of thickened gallbladder wall and floated intestine sign, there was significant difference between patients with carcinogenic ascites and patients with cirrhotic ascites.ConclusionIt is well demonstrated that double-layered, thickened gallbladder wall and floated intestine sign can be treated as the useful properties to diagnose cirrhotic ascites, nonthickened gallbladder wall and bound intestine sign are frequently detected in patients with carcinogenic ascites ......
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