超声造影在诊断胆囊腺肌瘤病中的应用  

Contrast-enhanced Ultrasonography in the Diagnosis of Gallbladder Adenomyomatosis

作　　者：周洋[1] 杜联芳[2] 姜露莹[2] 

机构地区：[1]川北医学院附属医院超声科,四川省南充市637000 [2]上海交通大学附属第一人民医院超声科

出　　处：《中国超声医学杂志》2011年第1期26-29,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨实时超声造影对胆囊腺肌瘤病的诊断价值。方法回顾性分析29例经手术病理证实的各种类型胆囊腺肌瘤病患者的常规二维灰阶超声及实时超声造影检查,由3名有经验的医师用双盲法得到检查结果,结果分为:(1)肯定诊断,(2)可疑诊断,(3)不能得到诊断结果。用统计软件比较二者检查结果。结果二维灰阶超声得到肯定诊断12例,可疑诊断15例,不能得到诊断结果有2例。超声造影检查后肯定诊断23例,可疑诊断有5例,不能得到诊断结果有1例。二者之间诊断结果有显著性差异。结论与常规二维超声比较,用实时超声造影能更清晰直观地显示胆囊腺肌瘤病的形态、边界、罗-阿窦以及血供,有助于胆囊腺肌瘤病的诊断。Objective To investigate the diagnostic value of real-time contrast-enhanced ultrasonography for gallbladder adenomyomatosis. Methods The images of two dimensional gray scale ultrasonography and real-time contrastenhanced uhrasonography of twenty-nine patients with gallbladder adenomyomatosis by surgery pathology were ana- lyzed retrospectively,The diagnostic results were made by three experienced doctor with double-blind method and di- vided into three scales： （1） conclusive diagnosis; （2）inconclusive diagnosis; （3） no diagnosis result. The results of these two methods were compared with the use of statistical software. Results Conclusive diagnosis was achieved in 12 patients. Inconclusive diagnosis was achieved in 15 patients. No diagnostic result was achieved in 2 patients on two dimensional gray scale ultrasonography; Contrast-enhanced ultrasonography showed 23,5, and 1 cases respectively. There was significant difference in the results between the two groups. Conclusions Real-time contrast-enhanced ultrasonog- raphy,which can directly depict the morphous,borderline, Rokitansky-Aschoff sinus and blood supply of the gallblad- der adenomyomatosis,is more helpful to the diagnosis of gallbladder adenomyomatosis,compared with conventional ultrasonography.

关 键 词：超声 造影剂 胆囊 腺肌瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学] R735.8[医药卫生—诊断学]