超声诊断胆囊腺肌增生症的临床应用  

Clinical application of ultrasound in the diagnosis of adenomyomatosis of gallbladder

作　　者：丁颖[1] 孙微[1] 刘洁[1] 

机构地区：[1]沈阳医学院附属第二医院超声科,110002

出　　处：《中国实用医药》2017年第31期36-38,共3页China Practical Medicine

摘　　要：目的探讨胆囊腺肌增生症的超声影像学诊断方法和声像图特征,降低该病的漏误诊率,提高诊断符合率。方法 35例手术病理证实的胆囊腺肌增生症患者作为研究对象,分析患者超声声像图资料,并观察诊断结果及超声表现。结果 35例胆囊腺肌症患者中,19例术前经超声诊断确诊,诊断符合率为54.3%,6例漏诊,后经增强CT和磁共振成像(MRI)确诊;10例误诊,其中6例误诊为慢性胆囊炎,4例误诊为胆囊占位性病变。本组患者超声表现分为局限型15例,占42.9%;弥漫型(又称广泛型)12例,占34.3%;节段型8例,占22.9%。结论熟练应用超声技术,掌握胆囊腺肌增生症的超声特点,对正确诊断该病具有至关重要的临床价值。Objective To investigate the ultrasound imaging diagnostic methods and sonographic features of adenomyomatosis of gallbladder, so as to reduce the misdiagnosis rate and improve the diagnostic accordance rate. Methods A total of 35 patients with adenomyomatosis of gallbladder confirmed by operation and pathology, were studied. The uhrasonographie data were analyzed, and the diagnosis resnlls and uhrasound manifestations were ohserved. Results Among 35 patients with adenomw^matnsis of gallbladder, 19 eases were eonfirmed by uhrasound before operation, with diagnostic aeeordanee rate as 54.3%, 6 missed eases were eonfirmed by enhaneed CT and magnetic resonance imaging （Mill）. In 10 misdiagnosed eases, there were 6 eases misdiagnosed as ehronie eholeeystitis and 4 eases misdiagnosed as gallbladder occupying lesions. According to uhrasound manifeslation, there were 15 limited type eases, aeeounting for 42.9%; 12 diffuse type （also known as extensive type） eases, accounting for 34.3%; 8 segment type eases, accounting for 22.9%. Conclusion It is of vital imporlanee to diagnose the disease with ultrasonic technique and mastering the ultrasonic eharaeteristies of adenomyomatosis of gallbladder.

关 键 词：胆囊腺肌增生症 超声检查 价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575.6[医药卫生—诊断学]