胆囊息肉样变42例声像图分析  

Ultrasonographic Analysis of Gallbladder Polypoid Lesions: A Report of 42 Cases

作　　者：吴静宁[1] 刘静[1] 

机构地区：[1]张掖医学高等专科学校附属医院超声科,甘肃省张掖市734000

出　　处：《中国超声医学杂志》2010年第7期661-663,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的回顾性分析胆囊息肉样病变42例声像图特征,旨在提高超声诊断的准确性。方法对42例经病理证实的胆囊息肉样病变的声像图与病理进行对比分析。结果胆固醇息肉21例,占50%;炎性息肉4例,占9.5%;单纯性腺瘤8例,占19%;乳头状腺瘤8例,占19%;胆囊肌腺瘤1例,占2.3%。有4例为2种类型合并发生,伴慢性胆囊炎者9例,伴胆囊结石者4例,单发者28例,多发者14例。超声诊断与病理诊断符合率为93.6%。结论声像图根据息肉数目、大小、形态、基底宽窄及血流情况,可初步判断其性质,为临床提供了必要的诊断信息。Objective Retrospective analysis of sonogram features of 42 cases with polypoid lesions in gallblad der to improve the diagnostic accuracy of ultrasound. Methods Comparative analysis of the ultrasonographic images of 42 patients pathologically proved to be Gallbladder polypoid Lesions. Results There were 21 choleserol polyps, ac counting for 50%, 4 infective polypus, accounting for 9.5%, 8 adenoma simplex, accounting for 19%, 8 papillary adenoma, accounting for 19%, and 1 gallbladder adenomyoma, accounting for 2.3%. 4 cases occurred with two types, 9 cases with chronic cholecystitis, 4 cases with gallstones, 28 cases with single gallbladder polyps and 14 cases with multiple gallbladder polyps. Coinciderce between ultrasound diagnosis and pathological diagnosis was 93.6 %. Conclusions Number, size, shape, basal width, and blood flow of polypus can preliminarily diagnose its nature, which can provide necessary infor marion for clinical diagnosis.

关 键 词：胆囊息肉 超声诊断 声像图 病理 

分 类 号：R445.1[医药卫生—影像医学与核医学] R657.4[医药卫生—诊断学]