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目的:探讨急性非结石性胆囊炎(AAC)的病因、临床特点及诊治方法。方法:对我院1997~2007年间收治的18例AAC进行回顾性分析。结果:术前B超检查17例,诊断符合率88.24%;CT检查5例,确定诊断5例。18例均经手术治疗,行胆囊切除术15例,胆囊造瘘2例,胆囊大部分切除1例。治愈18例。结论:AAC起病急,病因复杂,术前诊断困难,易误诊。提高对AAC的认识有重要的临床意义,B超检查是诊断本病的首选方法,CT也有助于诊断。早期手术切除胆囊是最有效的治疗手段。
Objective: To investigate the etiology, clinical features, diagnosis and treatment of acute acalculous cholecystitis (AAC). Methods: 18 cases of AAC treated in our hospital from 1997 to 2007 were retrospectively analyzed. Results: Preoperative ultrasound examination in 17 cases, the diagnostic coincidence rate of 88.24%; 5 cases of CT examination to determine the diagnosis of 5 cases. Eighteen patients were treated by surgery, cholecystectomy in 15 cases, 2 cases of gallbladder fistula, most cases of gallbladder resection in 1 case. 18 cases were cured. Conclusion: The acute onset of AAC is complicated by etiological factors. It is difficult to diagnose preoperatively and is easily misdiagnosed. AAC awareness of raising an important clinical significance, B-ultrasound is the preferred method of diagnosis of the disease, CT also contribute to the diagnosis. Early surgical removal of the gallbladder is the most effective treatment.