CAJ | 학술논문

目的探讨胆石性肠梗阻的超声表现及诊断价值.资料与方法回顾性分析11例经手术病理证实的胆石性肠梗阻患者的临床资料与超声表现,并与 X 线平片、CT 结果进行比较.结果11例超声均显示肠腔内异位结石和肠梗阻征象,9例有胆道系统积气,8例可见胆囊变形、轮廓模糊,5例可见胆肠瘘直接征象,7例有少量腹水,5例可见局部肠壁增厚.结论超声检查胆石性肠梗阻有典型征象,对定位和定性诊断具有重要价值,可作为首选检查方法为临床选择治疗方案提供影像依据.
목적탐토담석성장경조적초성표현급진단개치.자료여방법회고성분석11례경수술병리증실적담석성장경조환자적림상자료여초성표현,병여 X 선평편、CT 결과진행비교.결과11례초성균현시장강내이위결석화장경조정상,9례유담도계통적기,8례가견담낭변형、륜곽모호,5례가견담장루직접정상,7례유소량복수,5례가견국부장벽증후.결론초성검사담석성장경조유전형정상,대정위화정성진단구유중요개치,가작위수선검사방법위림상선택치료방안제공영상의거.
Purpose To investigate the ultrasonographic findings of gallstone ileus, and to discuss the diagnostic value. Materials and Methods The ultrasonographic findings of 11 patients with gallstone ileus confirmed by surgical pathology were retrospectively reviewed and then compared with X-ray plain films and CT scan. Results Signs of ileus and ectopic gallstone were seen in all cases on sonography. Penumobilia was seen in 9 cases; gallbladder abnormalities in 8 cases. Signs of biliary enteric fistula were seen in 5 cases; peritoneal fluid was seen in 7 cases;thickened intestinal wall in 5 cases. Conclusion Sonography is one of the most valuable examinations for diagnosing gallstone ileus which provides important information for clinical treatments.