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目的总结急性黄疸型肝炎胆囊改变的CT影像学特征,以提高其诊断准确率。方法回顾性分析临床诊断为急性黄疸型肝炎28例的胆囊CT表现。结果 20例(71.4%)表现为胆囊轮廓清楚,囊壁水肿,向心性均匀增厚,呈双边征,胆囊腔呈缩小甚至消失改变。6例(21.4%)表现为胆囊边缘毛糙、轮廓欠清,密度增高,黏稠的胆汁与肿胀的囊壁呈实质样改变。2例(7.2%)胆囊无明显改变。结论胆囊改变是急性黄疸型肝炎的一种肝外表现。
Objective To summarize the CT features of gallbladder changes in acute jaundice hepatitis to improve the diagnostic accuracy. Methods Retrospective analysis of the clinical diagnosis of acute jaundice hepatitis in 28 cases of gallbladder CT manifestations. Results Twenty cases (71.4%) showed clear outline of gallbladder, edema of the wall, uniform concentricity, bilateral sign, and the gallbladder cavity reduced or even disappeared. 6 cases (21.4%) showed rough edge of the gallbladder, lack of outline, increased density, viscous bile and swollen wall was substantially changed. Two cases (7.2%) did not change the gallbladder. Conclusion Gallbladder change is an extrahepatic manifestation of acute jaundice hepatitis.