健康体检中胆囊息肉样病变的超声诊断分析  

Analysis of ultrasound diagnosis of polypoid lesions of gallbladder in health examination

作　　者：杨华丽[1,2] 孔雷[3] 沈慧芳[1,2] 谢爽[4] 奉典旭[3] 曹亦军[3] 陈腾[3] 顾新刚[1,2] 韩峰[3] 

机构地区：[1]上海中医药大学附属普陀医院超声科,上海200062 [2]上海普陀区体检站,上海200062 [3]上海中医药大学附属普陀医院普外科,上海200062 [4]上海中医药大学附属普陀医院中心实验室,上海200062

出　　处：《肝胆胰外科杂志》2012年第3期211-213,共3页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的探讨健康体检中超声诊断胆囊息肉样病变(PLG)的应用价值。方法回顾性分析11816例健康体检者PLG的发生率及其超声声像图特征。结果在11816名健康体检者中,共发现PLG495例;男332例,发生率为4.6%;女163例,发生率为3.5%,男性发生率显著高于女性(P<0.05)。在本次体检人群中,以41～50岁年龄组PLG发生率最高,男性为7.8%,女性为6.3%。495例PLG的二维超声声像图特征如下:①59.2%(293/495)PLG有蒂或基底较窄;②80.4%病灶呈强回声或中等回声;③91.9%(455/495)病灶见于底、体部;单发PLG为182例,占36.8%,多发者313例(63.2%);④PLG体积大多数较小,平均(6.1±3.9)mm;⑤10.7%(53/495)PLG合并有胆囊结石。结论胆囊超声普查有利于早期发现PLG,为及时治疗提供依据。Obiective To investigate the application value of ultrasound diagnosis of polvpoid lesions ofgallbladder （PLG） in health examination. Methods The PLG incidence rate and uhrasonographic characteristics in 11 816 cases of heahhv examination were analyzed retrospectively. Results Four hundred and ninety-five PLG cases were found in 11 816 healthy subiects. The male PLG incidence rate was 4.6% （332/7174）; meanwhile, the female 3.5% （163/4642）, the males＇ rate significantly higher than that of the female （P〈0.05）. In this physical examination population, the age group of 41 -50 years old had the highest PLG incidence rate, 7.8% for male, 6.3% for female. The two-dimensional uhrasonographic characteristics of 495 PLG cases were as follows： ① 59.2% （ 293 / 495） PLG had pedicle or narrow base; ② 80.4% lesions showed strong or moderate echo; ③ 91.9% （455/495） lesions were found in the bottom and the body; 36.8% （182/495） cases was single PLG, 63.2% （313/495） of multiple PLG; ④ Most of the PLG volume were smaller, mean （6.1 ＋ 3.9）mm; ⑤ 10.7% （53/495） PLG was associated with gallbladder stones. Conclusion Gallbladder ultrasound screening is useful for the early detection of PLG and provides evidence for the timely treatment.

关 键 词：胆囊息肉样病变 发生率 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]