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두꺼워진 담낭벽의 칼라도플러 초음파 소견
Color Doppler Sonography in Thickened Gallbladder Wall

한상석    (인제대학교 의과대학 진단방사선과학교실  );
  • 초록

    Purpose : The thickening of the gallbladder wall is a valuable finding for the diagnosis of cholecystitis, butmay be seen in non-cholecystic disease as well as in acute or chronic cholecystitis. The purpose of this study isto determine the value of color Doppler sonography in differentiating the causes of thickened gallbladder wall.Materials and Methods : Ninety eight patients with thickened gallbladder wall(more than 3mm) which was not due togallbladder cancer were prospectively evaluated with color Doppler sonography. Sixty-six cases, confirmed bypathologic reports and clinical records, were analyzed for correlation between thickened gallbladder wall andcolor flow signal according to the underlying causes. Results : Of the 66 patients, 28 cases were cholecystitisand 38 cases had non-cholecystic causes such as liver cirrhosis, ascites, hepatitis, pancreatitis, renal failure, and hypoalbuminemia. Of the 28 patients with cholecystitis(12 acute, 16 chronic), 23(82%) had color Doppler flowsignals in the thickened gallbladder wall. Of the 38 patients with non-cholecystic causes, eight(21%) had colorDoppler flow signals. There was a statistically significant difference of color Doppler flow signals between thecholecystitis and non-cholecystic groups(p=0.0001). No significant difference of color Doppler flow signals wasfound between cases of acute and chronic cholecystitis. Of the 23 patients with color Doppler flow signals in 28cases of cholecystitis, 18(78.3%) showed a linear pattern and five(21.7%) showed a spotty pattern. Of the eightpatients with color Doppler flow signals in the 38 non-cholecystic cases, four(50%) showed a linear pattern andfour(50%) showed a spotty pattern. In cholecystitis, a linear color Doppler flow signal pattern is a much morefrequent finding than a spotty pattern. Conclusion : Color Doppler sonography is a useful and adequate method fordetermining whether a thickened gallbladder wall is the result of cholecystitis or has non-cholecystic causes.


  • 주제어

    Gallbladder, US .   Cholecystitis .   Ultrasound(US), Doppler studies.  

  • 참고문헌 (21)

    1. 담낭벽의 선조성 비후 : 다망염과 비담낭질환의 초음파 진단상 의의에 관하여. , 최윤영;고병희;조온구;함창곡;임현철;담낭벽의 선조성 비후 , 대한초음파의학회지 / v.12,pp.28-32,
    2. 담낭천공의 초음파소견 , 김종우;박해령;김표년;김일영;이병호 , 대한초음파의학회지 / v.13,pp.7-12,
    3. Early versus delayed operation for acute cholecystitis:a controlled clinical tral , Van der Linden W;Sunzel H , Am J Surg / v.120,pp.7-13,
    4. Early operation for acute biliary tract stone disease , Saltzstein EC;Peacock JB;Mercer LC , Surgery / v.94,pp.704-707,
    5. Cholecystectomy for acute cholecystitis: timing for operation, bacteriologic aspects, and post-operative courese , Sianesi M;Ghirarduzzi A;Percudani M(et al.) , Am J Surg / v.148,pp.609-612,
    6. Color Doppler of the thickened gallbladder wall(abstr) , Dickson PR;Smouse HR;Montalvo BM(et al.) , AJR / v.160(p),pp.64-65,
    7. Diagnosis of acute cholecystitis with color Doppler sonongraphy: significance of arterial flow in thickened gallbladder wall , Paulson EK;Kliewer MA;Hertzberg BS;Paine SS;Carroll BA , AJR / v.162,pp.1105-1108,
    8. Pathologic correlation of flow doppler and acute cholecystitis(abstr) , harshfield D;Porter M;TEplick S(et al.) , AJR / v.160(p),pp.64,
    9. Sonography of the thickened gallbladder wall. a nonspecitic finding , Shlaer WJ;Leopold GR;Scheible FW , AJR / v.136,pp.337-339,
    10. 합병증을 동반한 급성 담낭염의 초음파 소견 , 박동우;조온구;고병희;김순용 , 대한초음파의학회지 / v.7,pp.130-136,
    11. Ultrasonographic evidence of gallbladder wall thickening in association with hypalbuminemia , Fiske CE;Laing FC;Brown TW , Radiology / v.135,pp.713,
    12. The significance of sonographic gallbladder wall thickening , Sanders RC , J Clin Ultrasound / v.8,pp.143-146,
    13. Sonography of the gallbladder : significance of striated(layered) thickening of the gallbladder wall , Teefey SA;Baron RL;Bigler SA , AJR / v.156,pp.945-947,
    14. Gallbladder wall thickening : a frequent finding in various nonbiliary disordersa prospective ultrasonographic study , Wegener M;Borsch G;Schneider J;Wedmann B;Winter R;Zacharias J , J Clin Ultrasound / v.15,pp.307-312,
    15. Color Doppler US of the thickened gallbladder wall*abstr) , Brink JA;Middleton WD , Radiology / v.181(p),pp.299,
    16. Ultrasound of gallbladder wall thickening and its relation to cholecystitis , Handler SJ , AJR / v.132,pp.581-585,
    17. Gallbladder wall thickening: patients without intrinsic gallbladder disease , Ralls PW;Quinn MF;Juttner Hu;Halls JM;Boswell WD , AJR / v.137,pp.65,
    18. Ultrasonic detection of acute cholecystitis with pericholecystic abscesses , Deitch EA;Engel JM , Ann Surg / v.47,pp.211-241,
    19. Use of ultrasonongraphic risk score in the timing of operative intervention for acute cholecystitis , Miyazaki K;Uchiyama A;Nakayama F , Arch Surg / v.123,pp.487-489,
    20. Color Doppler imaging of cystic artery , McGarth FP;Lee SH;Gibney RG , J Clin Ultrasound / v.20,pp.433-438,
    21. Gallbladder wall thickening:a new sign of gallbladder disease visualized by gray scale cholecystosonography , Marchal G;Crolla D;Baert AL;Fevery J;Kerremans R , J Clin Ultrasound / v.6,pp.177-179,

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