胆道内瘘的声像图分析及其超声诊断价值

目的 探讨超声检查对胆道内瘘的诊断价值。方法 用常规Ｂ超结合饮水口服胃肠道Ｂ超显像剂探测胆道内瘘。回顾分析手术证实的９例胆道内瘘的声像图表现。结果 胆道内瘘声像图显示：胆囊萎缩７例，胆囊壁增厚８例，胆道结石８例，胆囊或胆总管与周围组织粘连９例，胆道积气６例，直接显示瘘口３例。以超声发现瘘口为诊断胆肠内瘘的重要指标。以其他间接征像为诊断胆道内瘘参考依据。结论 胆道内瘘的声像图表现有一定特征，超声检查

Assessment of fistula in biliary tract by sonogram and its diagnostic value

Objective To assess the value of ultrasound in diagnosis of fistula in biliary tract.Methods Nine patients underwent ultrasonic examination after drinking contrast with water to detect the fistula in biliary tract and the results were compared with the sonogram after surgical approve.Results Sonogram of fistula in biliary tract showed 7 gallbladder atrophy, 8 gallstones,8 gallbladder wall thickening, 9 adhesive gallbladder or choledochus with peripheral tissue and 6 biliary pneumatosis . Three patients directly revealed fistula in biliary tract, which was the important index for diagnosing fistula in biliary tract.Conclusions Ultrasound plays an important practical role in the clinical diagnosis.