肝炎病人之異常超音波膽囊變化的臨床意義

Clinical Significance of Abnormal Sonographic Pattern of the Gallbladder in Hepatitis

黃暉庭(Fei-Ting Huang) ； 楊國卿(Kuo-Ching Yang) ； 吳健樑(Jeng-Liang Wu) ； 高進祿(Chin-Rao Kao) ； 周孫衍(Sun-Yen Chou)

《中華民國消化系醫學會雜誌》 1卷3期 (1984/07) Pp. 168-174

https://doi.org/10.6557/GJTa.198407_1(3).0006

摘要

48例肝炎病人接受腹部即時性超音波檢查，有15例發現合幷有異常膽囊變化。其變化可分為三型；第一型為塌陷或縮小性膽囊(collapsed or contracted gall bladder)，第二型爲膽囊壁增厚合幷異質性回音變化(wall thickening with heterogeneity)，第三型為膽囊壁增厚。由部分病例之縱向觀察發現在肝炎的極盛期會有第一型之變化，當肝炎緩解後，經第二或第三型之變化而恢復正常。這些變化與血清總膽紅素及GPT值有關，而與白蛋白濃度無關。這些變化類似急性或慢性膽囊炎，兩者須作鑑別診斷。

並列摘要

Real-time Ultrasound was used for a serial evaluation of gallbladder modifications in 48 patients with acute or chronic hepatitis. Fifteen patients were found to have abnormal sonographic patterns of the gallbladder which were defined as three types; Type Ⅰ: collapsed gallbladder or contracted gallbladder, Type Ⅱ:
wall thickening with heterogeneity, and Type Ⅲ: wall thickening.
In the florid stage of hepatitis, there was usually associated with type Ⅰsonographic pattern of gallbladder. Type Ⅱ, Ⅲ usually occurred in the remission stage of hepatitis and normal pattern of gallbladder was progressively restored during the clinical recovery.
A statistical correlation was found between abnormal sonographic pattern of gallbladder and serum total bilirubin level and GPT, but not with serum albumin concentration.

並列關鍵字

gall bladder ； hepatitis ； ultrasound study