Helmberger H, Kammer B
Abteilung für Diagnostische und Interventionelle Radiologie/Nuklearmedizin, Krankenhaus Dritter Orden München-Nymphenburg, München.
Radiologe. 2005 May;45(5):479-90; quiz 491. doi: 10.1007/s00117-005-1224-z.
Cholelithiasis is the most common affliction of the gallbladder and biliary tract. Including its complications, gallstone disease represents the basis for cholecystitis and cholangitis in the majority of cases. Inflammatory diseases of the biliary system are divided into acute and chronic forms originating from the gallbladder as well as from the biliary tract. Although acute calculous cholecystitis is the most common form, gangrenous, and emphysematous inflammation of the gallbladder as well as gallbladder empyema are included in this group of diseases. In the chronic forms, calculous and acalculous inflammation is also differentiated. Recent developments in cross-sectional imaging in sonography, computed tomography, and magnetic resonance imaging offer numerous tools for depicting the biliary system with high diagnostic accuracy. Invasive imaging modalities of the biliary system are mainly used for therapeutic aspects.
胆石症是胆囊和胆道最常见的疾病。包括其并发症在内,胆结石病是大多数胆囊炎和胆管炎的病因。胆道系统的炎症性疾病分为源于胆囊和胆道的急性和慢性形式。虽然急性结石性胆囊炎是最常见的形式,但坏疽性、气肿性胆囊炎以及胆囊积脓也包括在这组疾病中。在慢性形式中,也区分结石性和非结石性炎症。超声、计算机断层扫描和磁共振成像等横断面成像的最新进展提供了许多工具,可用于以高诊断准确性描绘胆道系统。胆道系统的侵入性成像方式主要用于治疗方面。