【摘要】 目的探讨超声在胆道出血性疾病诊断中的应用价值。方法对20例肝外伤性患者的胆囊内移动性异常回声的形态、大小、回声水平及其演变进行记录分析,总结胆道出血性疾病的胆囊积血声像图特征及演变规律。结果胆囊积血图像分为3种类型:弥漫细小回声型;成堆等回声型;成团强回声型。胆囊积血完全消失最短时间在外伤后3个月,最长时间在外伤后9个月。结论结合病史及超声对胆囊积血的监测,能为临床提供胆道出血的存在及胆道出血病情变化的依据,具有实际应用价值,为诊断胆道出血的间接有效的方法。更多还原

【Abstract】 Objective To evaluate the ultrasonography in the diagnosis of biliary tract bleeding.Methods The abnormal imaging findings of gallbladder in 20 cases after liver trauma were recorded and analyzed, regarding the shape, size, echo intensity and development. Results The sonographic findings of biliary tract bleeding were classified in three categories: tiny diffuse echoic particles, piled-up iso-echoic lesions and nodular hyper echoic lesions. The abnormal manifestations of hematocele in the gallbladder disappeared in 3 to 9 months after trauma. Conclusion Integrated with the history, ultrasound imaging of gallbladder hematocele provides the evidence of biliary tract bleeding and monitors the development of the injury, which is a practical imaging modality.更多还原