超声显示胆囊壁增厚作为鉴别肝硬化腹水与其他腹水的一种方法。
Ultrasound demonstration of gallbladder wall thickening as a method to differentiate cirrhotic ascites from other ascites.
作者信息
Brogna A, Bucceri A M, Catalano F, Ferrara R, Leocata V
机构信息
Institute of Internal Medicine, University of Catania, Italy.
出版信息
Invest Radiol. 1996 Feb;31(2):80-3. doi: 10.1097/00004424-199602000-00003.
RATIONALE AND OBJECTIVES
Gallbladder wall thickness was measured by ultrasound in 16 patients with ascites caused by liver cirrhosis and in 16 noncirrhotic patients with ascites. This study was performed to evaluate if gallbladder wall thickening could differentiate cirrhotic ascites from ascites due to other causes.
METHODS
Gallbladder thickness was measured by duplex ultrasound in 16 cirrhotic patients with ascites and in 16 noncirrhotic patients with ascites. Measurements of portal vein flow and serum albumin also were performed.
RESULTS
Gallbladder wall thickness was 0.76 +/- 0.21 cm in cirrhotic patients and 0.24 +/- 0.09 in noncirrhotic patients (P < 0.001, Student's t test for unpaired data). Gallbladder wall thickening was significantly more frequent in patients with cirrhotic ascites than in patients with noncirrhotic ascites (P < 0.001, chi-square test).
CONCLUSIONS
The authors feel that the ultrasound finding of gallbladder wall thickening in patients with ascites is highly predictive of liver cirrhosis diagnosis.
原理与目的
通过超声测量了16例肝硬化腹水患者及16例非肝硬化腹水患者的胆囊壁厚度。本研究旨在评估胆囊壁增厚能否区分肝硬化腹水与其他原因所致的腹水。
方法
采用双功超声测量了16例肝硬化腹水患者及16例非肝硬化腹水患者的胆囊厚度。同时还进行了门静脉血流及血清白蛋白的测量。
结果
肝硬化患者的胆囊壁厚度为0.76±0.21cm，非肝硬化患者为0.24±0.09cm（P<0.001，成组设计t检验）。肝硬化腹水患者胆囊壁增厚的发生率显著高于非肝硬化腹水患者（P<0.001，卡方检验）。
结论
作者认为，腹水患者超声检查发现胆囊壁增厚对肝硬化诊断具有高度预测性。
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