【摘要】 目的 :探讨胆囊壁声像图改变对鉴别肝硬化性与恶性肿瘤性腹水的价值。方法　对 10 1例肝硬化性腹水与 5 7例恶性肿瘤性腹水的胆囊壁声像图进行回顾性分析 ,主要观察胆囊壁厚度及回声。结果 :肝硬化性腹水胆囊壁均增厚且4 8.5 % (4 9/ 10 1)呈双层增厚回声 ;恶性肿瘤性腹水胆囊壁多不增厚 ,单层中度增厚仅 1.7% (1/ 5 7)。结论　胆囊壁增厚 ,尤其是双层增厚是肝硬化性腹水与恶性肿瘤性腹水声像图的主要鉴别点更多还原

【Abstract】 Objective:To study the changes of the images of cholecyst wall to distinguish ascites due to cirrhosis from that due to malignant tumor.Methods:101 cases with ascites of cirrhosis and 57 cases with malignant ascites were studied retropectively by cholecystic ultrasonography,mainly to observe the thickness of cholecyst wall.Results:The thickness of cholecyst wall have been equally increased in patients with ascites due to cirrhosis.48.5% (49/101) showed double-layer thickness images.The wall of gallbladder with ascites due to malignant tumor were normal,only account for 1.7% (1/57) showed slightly single-layer thickness images.Conclusion The important point is the thickening cholecyst wall,especially the double-layer thickness.It can distinguish ascites due to cirrhosis from that due to malignant tumor.更多还原