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題 名 | Correlation of Toxic Signs, Ultrasonographic Findings and Pathological Changes in Cholecystitis=膽囊炎症之毒性徵候,超音波所見和病理變化間的關聯 |
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作 者 | 施壽全; 褚志雄; 鄭國祥; 高進祿; 林錫泉; 陳碧芳; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:4 1996.10[民85.10] |
頁 次 | 頁259-263 |
分類號 | 415.456 |
關鍵詞 | 膽囊炎; 超音波掃描; Cholecystitis; Ultrasonography; |
語 文 | 英文(English) |
中文摘要 | 背景 膽囊炎是一種常見的臨床疾病,那些指標有助於預測其嚴重程 度呢? 方法 分析149位因膽囊炎而行膽囊切除術之病例。經病理診斷99例為慢性 膽囊炎(95例結石),50例急性(43例結石)。我們查閱其病歷記載,計數毒性徵 候發生的頻率。我們也比較對於膽囊壁,超音波與病理所見之間的差異。 結果 99例慢性膽囊炎,13例有毒性徵候。超音波顯示膽囊壁不正常46例, 但正確診斷為慢性膽囊炎者34例。對於膽囊壁的厚度,超音波與病理的度量不 符合者甚多。度量差異超過或等於2公釐者共19例。50例急性膽囊炎(其中20 例有併發症,稱為嚴重急性膽囊炎),31例有毒性徵候(20例嚴重急性佔14例)。 超音波判讀不正常膽囊壁46例(嚴重急性19例),正確診斷為急性膽囊炎28例(嚴 重急性13例)。超音波與病理度量膽囊壁差異超過或等於2公釐26例。 結論 臨床毒性徵候與超音波所見,並不能提供足夠的資訊來正確診斷嚴重而 有可能致命之虞的膽囊疾病。 |
英文摘要 | Background. Cholecystitis is a frequently encountered clinical problem. What parameters are reliable in helping predict its severity? Methods. One hundred and forty-nine cholecystectomized cases of cholecystitis were analyzed of which 99 (95 calculous) cases were pathologically diagnosed as chronic cholecystitis and 50 acute (43 calculous) cholecystitis. Medical records were reviewed to determine the frequency of toxic signs. Sonographic findings (performed within three days prior to operation), and final pathological changes with respect to the thickness and echotexture of the gallbladder wall were compared Results. Of 99 chronic cholecystitis patients, 13 cases showed toxic signs. Sonography detected an abnormal wall in 64, but made a correct diagnosis in only 34 cases. A great discrepancy was found in wall thickness as measured by sonography and pathology. A discrepancy >= 2 mm was noted in 19 cases. Of 50 patients with acute cholecystitis (20 cases had complications, defined as severe acute cholecystitis), 31 cases (14 of the 20 severe acute cases) showed toxic signs. Sonographic findings demonstrated an abnormal wall in 46 cases (19 of the severe acute cases) and an accurate diagnosis in 28 cases (13 of the severe acute cases). A difference in the measurement of gallbladder wall thickness >= 2 mm was noted in 26 patients. Conclusions. Clinical toxic signs and sonographic findings could not offer sufficient information to quickly identify life-threatening gallbladder diseases. |
本系統中英文摘要資訊取自各篇刊載內容。