胆囊癌的超声诊断与鉴别诊断  

Ultrasound Diagnosis and Differential Diagnosis of Gallbladder Carcinoma

作　　者：张淑平[1] 代加平 李朝霞[3] 

机构地区：[1]宜宾市第一人民医院消化内科,四川宜宾644000 [2]四川省宜宾卫生学校解剖学教研室 [3]四川大学华西医院超声科

出　　处：《华西医学》2014年第12期2267-2270,共4页West China Medical Journal

摘　　要：目的探讨超声对胆囊癌的诊断价值,以提高超声和临床对胆囊癌的早期诊断水平。方法对2008年1月-2013年12月42例经手术和病理检查证实为胆囊癌患者的临床资料与超声结果进行对照分析,总结胆囊癌的分型及声像图特征以及胆囊癌的鉴别诊断要点。结果 42例胆囊癌超声正确诊断25例(59.5%),其中壁厚型胆囊癌9例,隆起型11例,实块型5例;误诊17例(40.5%)。病理检查结果示高分化腺癌14例,中分化腺癌16例,低分化腺癌9例,鳞状腺癌2例,神经内分泌癌1例。结论目前超声诊断胆囊癌的正确率比较低,但由于超声诊断的简便、快速,仍然是胆囊癌的首选诊断方法,要提高诊断水平仍需努力。Objective To evaluate the diagnostic value of ultrasound for gallbladder carcinoma （GA）, in order to improve the ability of early ultrasonic and clinical diagnosis of GA. Methods We analyzed and compared the clinical data and ultrasonic results of 42 GA cases confirmed by surgery and pathology between January 2008 and December 2013, and summarized the classification, ultrasonographic features, and diagnosis of GA. Results Among the 42 cases, 25 were correctly diagnosed by ultrasound （59.5%）, among which 9 were thick-wall type, 11 were protrusion type and 5 were solid type. Seventeen cases were misdiagnosed （40.5%）. Pathological results showed 14 cases of highly-differentiated adenocarcinoma, 16 of moderately differentiaed adenocarcinoma, 9 of poorly-differentiated adenocarcinoma, 2 of squamous adenocarcinoma and 1 of neuroendocrine carcinoma. Condusion Ultrasound is the preferred method for the diagnosis of GA because of its convenience, although the diagnostic accuracy is still not good and more efforts should be done.

关 键 词：胆囊癌 超声诊断 鉴别诊断 

分 类 号：R735.8[医药卫生—肿瘤]