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对急性胆囊炎CT诊断指标的再认识

Reevaluation of CT diagnostic indexes of acute cholecystitis

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【作者】 张健胡万鹏

【Author】 ZHANG Jian HU Wanpeng (Department of Radiology,the Clinical Medical School of Jiamusi University)

【机构】 佳木斯大学临床医学院放射科佳木斯大学临床医学院放射科

【摘要】 目的:评价现行急性胆囊炎的某些CT诊断指标的实用价值。方法:利用螺旋CT机,测量胆囊的最大长径、短径和厚度。结果:手术组胆囊大小CT测平均为8.7cm×3.8cm,术后测平均为6.0cm×2.6cm。囊壁厚CT测0.28±0.07cm,术后测0.43±0.10cm,两者间有显著性差异(P<0.05)。结论:胆囊壁增厚不能作为诊断急性胆囊炎的常见或主要指标。胆囊短径特别是短径/长径的比值可以作为CT诊断急性胆囊炎的指标。

【Abstract】 Objective: To reevaluate the CT diagnostic indexes of acute cholecystitis(AC). Methods: To measure the longest diameter,the shortest diameter and thickness of the gallbladder with helical CT set. Results: The CT mean size of the gallbladder of the operated group was 8.7cm×3.8cm. The postoperational specimen mean size was 6.0cm×2.6cm. CT thickness of the gallbladder was 0.28±0.07cm.The postoperational specimen size was 0.43±0.10cm. There was significant difference between the two groups(P<0.05). Conclusion: The thickness of the gallbladder cannot be used as common or main index for the diagnosis of AC. The short diameter,especially the ratio of short diameter and long diameter may be used as index for the diagnosis of AC.

【关键词】 急性胆囊炎CT诊断可靠性
【Key words】 acute cholecystitisCT diagnosisreliability
  • 【文献出处】 黑龙江医药科学 ,Heilongjiang Medicine and Pharmacy , 编辑部邮箱 ,2002年04期
  • 【分类号】R816.5
  • 【被引频次】4
  • 【下载频次】66
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