现代医药卫生2025，Vol.41Issue(4)：878-880,886,4.DOI:10.3969/j.issn.1009-5519.2025.04.013
中-重度急性胆囊炎与穿孔的指标对比研究
Comparative study of indicators of moderate-severe acute cholecystitis and perforation
何晓非 1陈永平 1刘向东1
作者信息
- 1. 自贡市第四人民医院肝胆外科,四川自贡 643000
- 折叠
摘要
Abstract
Objective To investigate the value of imaging combined with some laboratory indicators in the differential diagnosis of acute gallbladder perforation(AGP)and moderate to severe acute cholecystitis(AC).Methods A total of 23 patients with AGP confirmed by surgery and pathology in the hospital from De-cember 2010 to December 2023 were retrospectively collected as AGP group.In addition,40 patients with moderate to severe AC confirmed by surgery and pathology were collected as AC group.The differences of im-aging and some laboratory indicators between the two groups were compared and analyzed.Results The pro-portion of gallbladder stones located in the neck of the gallbladder and the proportion of gallbladder fistulas in the AGP group were both higher than those in the AC group[65.22％(15/23)vs.20.00％(8/40),65.22％(15/23)vs.7.50％(3/40)],and the differences were statistically significant(P＜0.05).The proportion of white blood cell(WBC)≥15.0 × 109 L-1 in the AGP group was higher than that in the AC group[73.91％(17/23)vs.37.50％(15/40)],and the difference was statistically significant(P＜0.05).There were no significant differences in gallbladder volume,stone length,gallbladder fossa effusion,gallbladder wall thickness,procalci-tonin,high-sensitivity C-reactive protein,alkaline phosphatase,albumin,aspartate aminotransferase,alanine aminotransferase and total bilirubin between the two groups(P＞0.05).Conclusion Gallbladder fistula,gallstone location and WBC count have important clinical significance in the identification of AGP and moderate to se-vere AC.Familiarity with relevant imaging and laboratory examinations can reduce misdiagnosis and missed diagnosis to a certain extent.关键词
胆囊穿孔/急性胆囊炎/瘘口/结石位置/影像学/白细胞Key words
Gallbladder perforation/Acute cholecystitis/Fistula/Stone location/Imaging/White blood cell分类
医药卫生引用本文复制引用
何晓非,陈永平,刘向东..中-重度急性胆囊炎与穿孔的指标对比研究[J].现代医药卫生,2025,41(4):878-880,886,4.
