【摘要】 目的:探讨 B 超评估胆囊炎性粘连的可行性。方法:首先对在致炎因子刺激下的可变因素,如:胆囊的大小、囊壁的厚度、结石的多少、胆周回声等,进行观察、测量、列表分类,并与手术对照,然后分别进行统计学处理及卡方检验。结果:胆囊炎性粘连与下列因素有关①胆囊萎缩(长径<6 cm);②胆囊壁厚度>3 cm;③胆周回声增强、模糊不清(P<0.05)。值得一提的是,下列三种情况由于其特殊性,不宜行腹腔镜手术①胆囊结石颈部嵌顿;②急性胆囊炎发病超过120小时;③充满型胆囊结石。结论:B 超评估胆囊炎性粘连是可行的,可作为术式选择的一个依据。更多还原

【Abstract】 Objective:A prospective study was carried in 120 cases of cholecystectomy(69 cases of open cholecystectomy and 51 cases of cholecystectomy),aiming to evaluate the possibility of ultrasound assessment gallbladder inflammatory adhesion(GBIA).Methods:Under the stimulation of inflammatory agent,the labile factors as shape of gallbladder,gallbladder wall,shape of stone and the pericholecystic echo were observed,measured and classified.They were compared with the operation.The statistic analysis and x~2 test were carried on.Results:Statistics analysis showed that the GBIA was correlated with the followings:①atrophic gallbladder(length<6cm),②the gallbladder wall>3cm,③mult-chololithes, ④the perieholecystic echo was enhanced and not clear(P<0.05).The following condition was not suitable for laparoseopie eholecystectomy:①incarceration of gallstone,②active eholeeystitis over 120 hours,③filling stones in gallbladder.Conclusion:The assessment of gallbladder inflammatory adhesion with ultrasound is prospective and provides a reliable basis for choosing suitable operation.更多还原