Georgiev P, Mechkov G
Vutr Boles. 1991;30(2):94-6.
99 patients with ascites (60 patients with liver cirrhosis and 39 patients with peritoneal carcinosis) were examined by ultrasound tomography of the gall bladder. In most of the cirrhotic patients a thick gall bladder wall was found (7.7 +/- 3.4 mm) often with a three-layer structure. The gall bladder wall of the patients with peritoneal carcinosis was most often not thickened (2.5 +/- 1.6 mm). The difference is statistically significant (p less than 0.1). Thickening of the gall bladder wall was found in both groups of patients by a decreased serum albumin level. The ultrasound tomography of the gall bladder could help in the differentiation of cirrhotic from malignant ascites, especially in combination with determination of the serum albumin level.
对99例腹水患者（60例肝硬化患者和39例腹膜癌患者）进行了胆囊超声断层扫描检查。在大多数肝硬化患者中，发现胆囊壁增厚（7.7±3.4毫米），且常呈三层结构。腹膜癌患者的胆囊壁大多未增厚（2.5±1.6毫米）。差异具有统计学意义（p＜0.1）。两组患者中均发现血清白蛋白水平降低时胆囊壁增厚。胆囊超声断层扫描有助于鉴别肝硬化性腹水和恶性腹水，尤其是结合血清白蛋白水平测定时。
