胆囊疾病的计算机断层扫描评估

Computed tomographic evaluation of gallbladder disease.

作者信息

Itai Y

出版信息

Crit Rev Diagn Imaging. 1987;27(2):113-52.

Abstract

Evaluation of gallbladder diseases by computed tomography (CT) is limited compared with ultrasonographic evaluation. However, CT can bring about excellent information in advanced carcinoma of the gallbladder, severe and complicated cholecystitis, porcelain gallbladder, and indication for dissolution of gallbladder stones. Unique findings are also available in emphysematous cholecystitis, xanthogranulomatous cholecystitis, stones with gas (Mercedez-Benz sign), limy bile, and enhancement in acute cholecystitis. Combined use of CT and ultrasound apparently increase the accuracy of diagnosis in carcinoma and cholecystitis. This article is composed of sections on carcinoma, cholecystitis, stone, bile in the gallbladder, calcification, gas and fat, and miscellaneous topics including polypoid lesions, adenomyomatosis, hydrops, and wall thickening.

摘要

与超声检查相比，计算机断层扫描（CT）对胆囊疾病的评估有限。然而，CT能为胆囊晚期癌、严重和复杂胆囊炎、瓷胆囊以及胆囊结石溶解指征提供出色的信息。在气肿性胆囊炎、黄色肉芽肿性胆囊炎、含气结石（梅赛德斯 - 奔驰征）、石灰样胆汁以及急性胆囊炎强化方面也有独特表现。CT与超声联合使用显然可提高对胆囊癌和胆囊炎诊断的准确性。本文由关于胆囊癌、胆囊炎、结石、胆囊胆汁、钙化、气体和脂肪以及包括息肉样病变、腺肌增生症、积水和胆囊壁增厚等杂项内容的章节组成。