Patriquin H B, DiPietro M, Barber F E, Teele R L
AJR Am J Roentgenol. 1983 Jul;141(1):57-60. doi: 10.2214/ajr.141.1.57.
A review of 793 consecutive abdominal sonograms in children aged 1 day to 16 years disclosed 453 patients in whom the gallbladder was clearly visible on at least two perpendicular views. Twenty had a gallbladder wall more than 3 mm thick. The following diseases were associated with gallbladder wall thickening; hypoalbuminemia (13 cases), ascites (five, three with concomitant hypoalbuminemia), physiologic thickening because of partial wall contraction (one), and systemic venous hypertension (one). None of 26 patients with gallstones and one of 14 with sludge had a thickened gallbladder. (The latter patient had concomitant hypoalbuminemia). Five patients with surgically proven acute cholecystitis during this same interval of time had sonograms. In four, the gallbladder wall was of normal thickness. In the fifth patient, the gallbladder wall could not be visualized because of densely shadowing stones. In this population, thickening of the gallbladder wall was not associated with acute cholecystitis and thus was not an indication for cholecystectomy.
对793例年龄在1天至16岁儿童的连续腹部超声检查进行回顾发现，在453例患者中，胆囊在至少两个垂直视图上清晰可见。20例患者胆囊壁厚度超过3mm。以下疾病与胆囊壁增厚有关：低蛋白血症（13例）、腹水（5例，3例伴有低蛋白血症）、因部分壁收缩导致的生理性增厚（1例）和系统性静脉高压（1例）。26例胆结石患者和14例有胆泥患者中均无胆囊壁增厚情况。（后者伴有低蛋白血症）。在此期间，5例经手术证实为急性胆囊炎的患者进行了超声检查。4例患者胆囊壁厚度正常。第5例患者因结石密集遮挡无法观察到胆囊壁。在这组人群中，胆囊壁增厚与急性胆囊炎无关，因此不是胆囊切除术的指征。
