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目的:通过探究胆囊对比增强超声对胆囊炎症的诊断价值,试比较分析其对急性、慢性胆囊炎诊断之间的差异。方法:选择33例胆囊炎患者作为实验组,并在胆囊切割手术之前行对比增强超声检查,选择没有既往胆囊疾病的30例患者作为对照组,上述两组患者在检查过程中均使用2.5ml超声造影剂,根据胆囊增强程度不同可以分为三个等级:无增强、低程度增强、高程度增强。其中28例患者接受了手术,并将其超声检查结果与组织学结果进行比较。结果:16例患者为急性胆囊炎患者,其胆囊壁超声检查结果均为高程度增强;4例急性胆囊炎患者和6例慢性胆囊炎患者的检查结果为低程度增强;2例慢性胆囊炎患者和全部的对照组的超声检查结果均无增强。结论:对比增强超声可以作为胆囊炎患者的诊断手段,并且有可能区分急性胆囊炎患者和慢性胆囊炎患者之间的差异。
OBJECTIVE: To compare the diagnostic value of ultrasound in the diagnosis of cholecystitis by exploring the contrast of gallbladder. To compare the difference between the diagnosis of acute and chronic cholecystitis. Methods: Thirty-three cholecystitis patients were selected as the experimental group, and contrast-enhanced ultrasound was performed prior to cholecystectomy. Thirty patients with no prior gallbladder disease were selected as the control group. All patients in the two groups underwent 2.5ml sonography Contrast agents, according to the degree of gallbladder enhancement can be divided into three levels: no enhancement, low degree of enhancement, high degree of enhancement. Twenty-eight of these patients underwent surgery and compared their sonographic findings with histological findings. Results: 16 cases of patients with acute cholecystitis, the gallbladder wall ultrasound results were elevated to a high degree; 4 cases of acute cholecystitis and 6 cases of chronic cholecystitis in patients with low degree of enhancement; 2 patients with chronic cholecystitis There was no enhancement of ultrasound findings in all control groups. CONCLUSION: Contrast-enhanced ultrasound can be used as a diagnostic tool in patients with cholecystitis and it is possible to distinguish between patients with acute cholecystitis and patients with chronic cholecystitis.