超音波評估膽囊壁厚度鑑別良性抑或惡性腹水？

Sonographic Evaluation of Gallbladder Wall: Differentiation of Benign from Malignant Ascites

陳震宇(Cheng-Yu Chen) ； 李三剛(San-Kan Lee) ； 何善平(Peter SP Ho)

《中華放射線醫學雜誌》 13卷4期 (1988/12) Pp. 367-369

摘要

The galbladder wall thickness of 19 malignant and 20 benign ascitic patients were measured with special attention to double-walled appearance and to relation of recent seral albumin levels. Our study indicated that in patients with ascites, either malignant or benign, gallbladder wall thickness increased significantly (mean thickness 5.3mm). However, there was no significant distinction of gallbladder wall thickness between benign and malignant ascitic patients (malignant 5.04 mm v.s. benign 5.57 mm, p＞0.5). Yhr double-walled appearance of gallbladder wall on sonogram was present in both benign and malignant ascites. Our results are not consistent with those of Tsujimoto's study in 1985 which denoted that under the condition of seral albumin level equal to or greater than 2.5 g/dl a sonographically single-welled gallbladder in the presence of ascites indicated carcinomatous peritonitis, and a double-walled gallbladder indicated non-malignant ascites.

關鍵字

超音波術 ； 膽囊壁 ； 腹水

並列摘要

The galbladder wall thickness of 19 malignant and 20 benign ascitic patients were measured with special attention to double-walled appearance and to relation of recent seral albumin levels. Our study indicated that in patients with ascites, either malignant or benign, gallbladder wall thickness increased significantly (mean thickness 5.3mm). However, there was no significant distinction of gallbladder wall thickness between benign and malignant ascitic patients (malignant 5.04 mm v.s. benign 5.57 mm, p＞0.5). Yhr double-walled appearance of gallbladder wall on sonogram was present in both benign and malignant ascites. Our results are not consistent with those of Tsujimoto's study in 1985 which denoted that under the condition of seral albumin level equal to or greater than 2.5 g/dl a sonographically single-welled gallbladder in the presence of ascites indicated carcinomatous peritonitis, and a double-walled gallbladder indicated non-malignant ascites.

並列關鍵字

sonography ； gallbladder wall ； ascites