胆囊超声检查在胆石症诊断中的应用——病理与影像学对照

Cholecystosonography in diagnosis of cholelithiasis--pathologic and radiographic correlation.

作者信息

Vas W, Salem S

出版信息

J Can Assoc Radiol. 1980 Jun;31(2):116-9.

Abstract

Ultrasound examinations of 140 patients with a clinical suspicion of gallstones were compared with radiographic, surgical and pathologic findings to determine the accuracy of cholecystosonography. Ultrasound was 95% accurate for gallbladder disease, with a 5% false negative rate. Oral cholecystography was 96% accurate. The abnormal ultrasound examinations were divided into three groups, as described by Crade. Group 1 -- shadowing echoes within the gallbladder which move with gravity -- was 100% accurate for gallstones. Group 2 -- non-visualization of the gallbladder with acoustic shadowing -- was 94% accurate for gallstones. Group 3 -- non-shadowing echoes within the gallbladder -- was only 59% accurate for gallstones, but 96% accurate for gallbladder disease. We recommend cholecystosonography as the initial study in the investigation of gallbladder disease.

摘要

对140例临床怀疑有胆结石的患者进行超声检查，并与放射学、手术及病理检查结果进行比较，以确定胆囊超声检查的准确性。超声对胆囊疾病的诊断准确率为95%，假阴性率为5%。口服胆囊造影的准确率为96%。异常超声检查结果按Crade的描述分为三组。第1组——胆囊内随体位移动的声影回声，对胆结石的诊断准确率为100%。第2组——胆囊不显像伴声影，对胆结石的诊断准确率为94%。第3组——胆囊内无回声，对胆结石的诊断准确率仅为59%，但对胆囊疾病的诊断准确率为96%。我们建议将胆囊超声检查作为胆囊疾病检查的首选方法。