Huang Y S, Lee S D, Wu J C, Wang S S, Lin H C, Tsai Y T
Department of Medicine, Veterans General Hospital, Taipei, Taiwan, Republic of China.
J Clin Ultrasound. 1989 Mar-Apr;17(3):187-92. doi: 10.1002/jcu.1870170305.
Thirty-one patients with ascites associated with malignancy and 49 patients with cirrhotic ascites were enrolled in a sonographic study of the gallbladder wall. Three gallbladder wall patterns were recognized: A, single-layered, nonthickened wall; B, single-layered, thickened wall; and C, double-layered, thickened wall. Pattern A was found more frequently in patients with malignant ascites, while patterns B and C were detected more frequently in patients with cirrhotic ascites. If "nonthickened gallbladder wall" is used as a criterion for prediction of malignant ascites, the sensitivity is 80.6% and the specificity 93.9%. This suggests that sonographic examination of the gallbladder wall is useful in the differentiation of malignant from cirrhotic ascites.
31例伴有恶性肿瘤腹水的患者和49例肝硬化腹水患者参与了一项胆囊壁超声检查研究。识别出三种胆囊壁模式：A，单层、未增厚的壁；B，单层、增厚的壁；C，双层、增厚的壁。模式A在恶性腹水患者中更常见，而模式B和C在肝硬化腹水患者中更常见。如果将“胆囊壁未增厚”用作预测恶性腹水的标准，敏感性为80.6%，特异性为93.9%。这表明胆囊壁超声检查有助于鉴别恶性腹水和肝硬化腹水。
