摘要: |
胆囊穿孔是急性胆囊炎的严重并发症,主要发生在与胆石症相关的急性胆囊化脓性炎症之后,其发病率和死亡率都很高。增强超声是一种动态实时显示器官或肿瘤微血流的成像技术,近年来被用于胆囊疾病的评估,包括鉴别胆囊肿瘤及评价胆囊壁的完整性等。本病例中,增强超声通过观察胆囊壁的血供和胆囊壁的完整性,及时、准确地判断了胆囊穿孔的出现,并在超声引导下行经皮经肝胆囊穿刺置管引流,迅速缓解患者症状,防止病情恶化。 |
关键词: 增强超声,胆囊穿孔,介入治疗 |
DOI: |
投稿时间:2020-12-31修订日期:2020-12-31 |
基金项目: |
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Enhanced Ultrasound Diagnosis and Ultrasound-guided Interventional Therapy for Cholecystitis with Perforation: A Case Report |
Li Juan,tang hong,lu qiang |
(The deparment of Medical Ultrasound West China Hospital of Sichuan University;The deparment of Medical Ultrasound(JL,QL)West China Hospital of Sichuan University) |
Abstract: |
Gallbladder perforation is a serious complication of acute cholecystitis. It mainly occurs after acute suppurative inflammation of the gallbladder associated with cholelithiasis. Its morbidity and mortality are very high. Enhanced ultrasonography (EUS) is a dynamic real-time imaging technique for monitoring the microflow of organs or tumors. It has been used in the evaluation of gallbladder diseases in recent years, including the identification of gallbladder tumors and the evaluation of the integrity of gallbladder wall. In this case, by observing the blood supply of the gallbladder wall and the integrity of the gallbladder wall, enhanced ultrasound can timely and accurately judge the occurrence of gallbladder perforation, and under the guidance of ultrasound, percutaneous transhepatic gallbladder puncture and drainage can quickly relieve the symptoms of patients and prevent the deterioration of the disease. |
Key words: Contrast-Enhanced Ultrasound,Gallbladder Perforation,Interventional Treatment |