Clinical Evaluation of Gallbladder Diseases by Endoscopic Ultrasonography

內視鏡超音波術對膽囊疾病之臨床評估

吳國良(Kuo-Liang Wu) ； 李三剛(San-Kan Lee) ； 程東照(Tung-Chao Cheng)

《中華民國消化系醫學會雜誌》 3卷4期 (1986/12) Pp. 167-171

https://doi.org/10.6557/GJTa.198612_3(4).0002

摘要

內視鏡超音波可直接伸入食道，胃或十二指腸等部位，貼近所要檢查之病灶，例如膽囊做手術前之評估。
自民國74年1月至75年7月，本院胃腸科，有138位接受內視鏡超音波檢查，所使用的內視鏡超音波為日本Olympus 公司出品，GF UM2/EUM2，第四型，側視。其週波為7.5 mHz，可180度或360度顯像。前端可裝置充水之小氣球，以利檢查。在138位受檢患者中，診斷為膽結石膽囊息肉，膽囊癌，膽囊炎，及正常膽囊之真陽性率，分別是96.6%（28/29例）,95.5%(21/22),50%(2/4),93.8%(15/16)及100%(67/67)。其結果比傳統之腹部超音波檢查要好些。故內視鏡超音波對膽囊檢查，是很好的輔助工具之一。此外內視鏡超音波，以放在十二指腸球部之顯像最佳，但有時需改換至胃體部，或胃前庭區，以獲得更佳的顯像。

關鍵字

內視鏡超音波術 ； 膽囊息肉 ； 膽囊癌

並列摘要

Endoscopic ultrasonography enabled insertion directly into the esophagus, stomach or duodenum for observation of the target organ and was useful in collecting information on gallbladder status prior to operation.
One hundred and thirty-eight cases were studied by endoscopic ultrasonography from January 1985 to July 1986. The percentage of true positive findings for gallstones, gallbladder polyps, gallbladder cancer, cholecystitis and normal gallbladder by endoscopic ultrasonography were 96.6%(28/29 cases), 95.5%(21/22), 50%(2/4), 93.8%(15/16) and 100%(67/67), respectively. These results were slightly superior to those achieved by conventional ultrasonography study. In order to obtain detailed images of endoscopic ultrasonography in gallbladder diseases, position change with dislodgement of probes is sometimes needed.

並列關鍵字

endoscopic ultrasonography ； gallbladder polyp ； gallbladder cancer