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目的探讨胆囊炎直接引起肝组织局灶性细菌性炎症的超声诊断价值。方法选自1997年10月—2007年3月间,因胆囊炎胆石症行胆囊切除并证实有粘连的肝炎性损害共计593例。超声观测并记录囊床区肝组织异常声像图表现及特点,与术中所见及术后病检(部分病例)对照分析。结果胆囊炎可直接引起局灶性肝脏炎症,是继门静脉、肝动脉、胆道逆行三大途径之后,肝脏又一新的重要感染途径。结论胆—肝的这种局灶性炎症,超声影像多能作出明确诊断。
Objective To investigate the diagnostic value of cholecystitis caused by focal bacterial inflammation in liver tissue. Methods From October 1997 to March 2007, cholecystitis cholelithiasis cholecystectomy and confirmed adhesions in a total of 593 cases of hepatitis damage. Ultrasonography was performed to observe and record the abnormal ultrasonographic appearances and characteristics of the liver tissue in the capsular zone. The results were compared with the findings of intraoperative and postoperative pathological examination (some cases). The results of cholecystitis can directly cause focal liver inflammation, following the portal vein, hepatic artery, biliary retrograde three pathways, the liver is another important new route of infection. Conclusion This gallbladder-liver focal inflammation, ultrasound imaging can make a clear diagnosis.