不同肝胆疾病患者胆囊CT表现分析

doi:10.3969/j.issn.1672-5069.2019.03.034

Abstract

Abstract: Objectiv To compare the features of gallbladder CT manifestations between patients with chronic cholecystitis and with chronic liver diseases. Methods 52 patients with chronic liver diseases （chronic hepatitis B in 21,hepatitis B cirrhosis in 26 and primary liver caner in 5） and 32 patients with chronic cholecystitis were checked-up in our Department of Radiology beween November 2014 and October 2017. We analyzed their gallbladder CT manifestations. Results The gallbladder wall thickness in patients with chronic cholecystitis was significantly thicker than in patients with chronic liver disease [（4.5±0.5） mm vs. （3.7±0.4） mm,P<0.05],the incidences of cystic wall enhancement,increased bile density and transient enhancement of adjacent liver tissues were much higher than in patients with chronic liver diseases（100.0% vs. 75.0%,31.3% vs. 5.8% and 18.8% vs. 0.0%）,while the incidences of adhesion to peripheral tissues and gallbladder effusion were significantly lower than in patients with chronic liver diseases （9.4% vs. 75.0% and 9.4% vs. 28.9%,P<0.05）. Conclusion The CT manifestations of gallbladder in patients with chronic cholecystitis and liver disease are different,which might be helpful for clinicians to differentiate them.

Key words: Chronic cholecystitis, CT scan, Manifestations, Differential diagnosis

Huang Wenrong, Wang Hui, Li Xiaohua. Comparison of gallbladder CT manifestations between patients with chronic cholecystitis and with chronic liver diseases[J]. JOURNAL OF PRACTICAL HEPATOLOGY, 2019, 22(3): 445-448.

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Comparison of gallbladder CT manifestations between patients with chronic cholecystitis and with chronic liver diseases

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