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目的：评价现行急性胆囊炎的某些超声诊断指标的实用价值。方法：对１０５例急性胆囊炎行术前声像图与手术标本对照，同时１０５例手术组及４３８例非手术组急性胆囊炎声像图与４１例正常胆囊对照。结果：超声诊断准确率达９８．１％，手术组胆囊大小超声测平均为８．７ｃｍ×３．８ｃｍ，手术测平均为１１．０ｃｍ×４．６ｃｍ。囊壁厚超声测０．２８±０．０７ｃｍ，手术测０．４３±０．１ｃｍ，两者间有显著性差异（Ｐ＜０．０５）。超声见胆汁透声好占７９．０％，术中见胆汁清亮占８４．６％。椭圆形胆囊手术组、非手术组、正常对照组分别占７１．４％、６１．２％及５２．０％。超声莫非氏征阳性手术组为９３．３％，非手术组为８９．７％。“双环”征本组占１５．９％，囊壁粗糙不光滑占１８．７％。胆囊轮廓模糊占６．８％。结论：胆囊壁增厚并出现“双环”征、胆汁透声差、胆囊轮廓模糊不能作为诊断急性胆囊炎的常见或主要超声诊断指征。
Objective: To evaluate the practical value of some ultrasonic diagnostic indicators of the current acute cholecystitis. Methods: A total of 105 cases of acute cholecystitis were examined with preoperative sonography and surgical specimens, and 105 cases of operation group and 438 cases of non-operative group of acute cholecystitis were compared with 41 cases of normal gallbladder. Results: The accuracy rate of ultrasonic diagnosis was 98.1%. The average size of the gallbladder in the operation group was 8.7cm × 3.8cm by ultrasound and the average operation was 11.0cm × 4.6cm. The thickness of the wall was 0.28 ± 0.07 cm and the diameter of the wall was 0.43 ± 0.1 cm. There was a significant difference between the two groups (P <0.05). Ultrasound see bile sound good accounted for 79.0%, 84.6% during surgery see bile clear. Oval gallbladder surgery group, non-surgical group, normal control group accounted for 71.4%, 61.2% and 52.0%. Ultrasound non-sign of positive surgery group was 93.3%, non-surgical group was 89.7%. “Shuanghuan” levy this group accounted for 15.9%, wall roughness is not smooth accounted for 18.7%. Gallbladder contour fuzzy accounted for 6.8%. CONCLUSION: Thickened gallbladder wall with “double ring” sign, poor bile penetrability and fuzzy outline of gallbladder can not be used as a common or major diagnostic indications for diagnosis of acute cholecystitis.