超声与CT诊断胆囊腺肌增生症的对比研究  

Comparative analysis of gallbladder gland muscle hyperplasia of ultrasound and CT diagnostic value

作　　者：李锦 孟繁坤[1] 张旭辉 张海英[1] 

机构地区：[1]首都医科大学附属北京佑安医院,北京100069

出　　处：《西部医学》2018年第1期133-136,共4页Medical Journal of West China

摘　　要：目的探讨超声与CT在胆囊腺肌增生症诊断中的价值。方法选择2014年1月~2016年8月经本院手术或病理证实为胆囊腺肌增生症的患者37例,术前均进行超声及CT检查并以手术或病理诊断为金标准,评价超声及CT检查对胆囊腺肌增生症的诊断率。结果 37例胆囊腺肌增生症患者中手术病理证实为弥漫型的9例,节段型的11例,局限型的17例。以手术病理结果为金标准,弥漫型术前超声诊断率为55.56%,术前CT诊断率66.67%;节段型术前超声诊断率63.64%,术前CT诊断率72.72%;局限型术前超声诊断率70.59%,术前CT诊断率76.47%;超声检查总诊断率为64.86%,CT检查总诊断率为72.97%;胆囊腺肌增生症的超声诊断率与CT诊断率比较,差异均无统计学意义(P>0.05)。结论超声与CT对胆囊腺肌增生症均具有较高的诊断价值,但应注意与其他胆囊疾病相鉴别。Objective To explore the gallbladder gland muscle hyperplasia of ultrasound and CT diagnostic value. Methods 37 patients with gallbladder gland muscle hyperplasia confirmed by surgery or pathology in our hospital from January 2014 to August 2016 were selected in the present study. The ultrasound and CT manifestation were analyzed by surgery or pathology diagnosis as the gold standard. Results Of 37 patients with gallbladder gland muscle hyperplasia, there were 9 cases, 11 cases and 17 cases confirmed as diffuse type, section type and limited type by surgical pathology, respectively. With surgical pathologic results as the gold standard, the diffuse preoperative ultrasound diagnostic rate was 55.56%, and the preoperative CT diagnosis rate was 66.67%. Segmental type preoperative ultrasound diagnostic rate was 63.64%, the preoperative CT diagnosis rate by 72.72%, the limited type preoperative ultrasound diagnostic rate 70.59% and the preoperative CT diagnosis rate by 76.47%. Conclusion Ultrasound and CT in the diagnosis of gallbladder gland muscle hyperplasia has high value.

关 键 词：胆囊腺肌增生症 病理诊断 超声诊断 CT诊断 

分 类 号：R735.8[医药卫生—肿瘤]