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胆囊底部局限性增厚：胆囊底部型腺肌症与局限性慢性胆囊炎的 CT 鉴别诊断。

Focal thickening at the fundus of the gallbladder: computed tomography differentiation of fundal type adenomyomatosis and localized chronic cholecystitis.

机构信息

Department of Radiology, Dong-A University College of Medicine, Busan, Korea.

Department of Pathology, Dong-A University College of Medicine, Busan, Korea.

出版信息

Gut Liver. 2014 Mar;8(2):219-23. doi: 10.5009/gnl.2014.8.2.219. Epub 2013 Dec 24.

DOI:10.5009/gnl.2014.8.2.219
PMID:24672665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3964274/
Abstract

BACKGROUND/AIMS: The objective of our study was to identify useful computed tomography (CT) findings for differentiating fundal type adenomyomatosis from localized chronic cholecystitis involving the fundus of the gallbladder.

METHODS

We retrospectively identified cases of 41 patients with pathologically proven adenomyomatosis (n=21) or chronic cholecystitis (n=20) who had fundal thickening of the gallbladder on preoperative abdominal CT. Analysis of the CT findings included evaluation of the thickness, contour, border, intralesional cystic area, adjacent gallbladder wall thickening, presence of inner layer enhancement, enhancement grade, enhancement pattern, and presence of stones. Statistical analyses were performed using the Mann-Whitney U test and Fisher exact test.

RESULTS

Oval contour, inner layer enhancement and intralesional cystic area were more frequently noted in adenomyomatosis than in chronic cholecystitis (p<0.05 for each finding). Flat contour and adjacent gallbladder wall thickening were more frequently observed in chronic cholecystitis than in adenomyomatosis. No differences between adenomyomatosis and chronic cholecystitis in terms of the thickness, enhancement grade, enhancement pattern and presence of stones were apparent.

CONCLUSIONS

CT may help to differentiate fundal type adenomyomatosis from localized chronic cholecystitis involving the fundus of the gallbladder.

摘要

背景/目的：本研究旨在确定有助于区分底部型腺肌瘤病与累及胆囊底部的局限性慢性胆囊炎的有用 CT 表现。

方法

我们回顾性地选择了 41 例经病理证实为腺肌瘤病（n=21）或慢性胆囊炎（n=20）的患者，这些患者在术前腹部 CT 上均显示胆囊底部增厚。对 CT 表现的分析包括评估厚度、轮廓、边界、腔内囊性区域、相邻胆囊壁增厚、内层强化、强化程度、强化模式以及结石的存在。使用 Mann-Whitney U 检验和 Fisher 确切检验进行统计学分析。

结果

与慢性胆囊炎相比，腺肌瘤病中更常出现椭圆形轮廓、内层强化和腔内囊性区域（每种表现的 p<0.05）。平坦的轮廓和相邻胆囊壁增厚在慢性胆囊炎中更常见。腺肌瘤病和慢性胆囊炎在厚度、强化程度、强化模式和结石存在方面无明显差异。

结论

CT 有助于区分底部型腺肌瘤病与累及胆囊底部的局限性慢性胆囊炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/afdb92f01967/gnl-8-219-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/91d1b27ce374/gnl-8-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/bb154c2f619b/gnl-8-219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/640c9c0c4263/gnl-8-219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/23bf209b0c4e/gnl-8-219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/2b232c53dc5f/gnl-8-219-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/afdb92f01967/gnl-8-219-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/91d1b27ce374/gnl-8-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/bb154c2f619b/gnl-8-219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/640c9c0c4263/gnl-8-219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/23bf209b0c4e/gnl-8-219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/2b232c53dc5f/gnl-8-219-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fedb/3964274/afdb92f01967/gnl-8-219-g006.jpg

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