高频超声联合低频超声检查对胆囊腺肌增生症患者的诊断价值  

Diagnostic Value of High Frequency Ultrasound Combined with Low Frequency Ultrasound in Patients with Gallbladder Adenomyosis

作　　者：刘玉华 姚晓会 LIU Yuhua;YAO Xiaohui(Ultrasound Department,Xuchang Long Yao Hospital,Xuchang 461700,China)

机构地区：[1]许昌龙耀医院超声科,河南许昌461700

出　　处：《河南医学研究》2021年第35期6666-6668,共3页Henan Medical Research

摘　　要：目的探讨高频超声(HFUS)联合低频超声(LFUS)检查对胆囊腺肌增生症患者的诊断价值。方法选取许昌龙耀医院2019年10月至2021年3月收治的99例疑似胆囊腺肌增生症患者,均接受HFUS、LFUS单独及联合检查,以手术病理诊断结果为金标准,统计HFUS、LFUS单独及联合检查结果与手术病理结果,比较HFUS、LFUS单独及联合检查胆囊腺肌增生症患者的诊断效能(符合率、灵敏度、特异度、漏诊率、误诊率),并分析影像学结果。结果以手术病理诊断结果为金标准,99例疑似胆囊腺肌增生症患者确诊阳性57例,阴性42例;LFUS单独检查检出阳性44例,阴性55例;HFUS单独检查检出阳性46例,阴性53例;HFUS联合LFUS检查检出阳性58例,阴性41例;HFUS联合LFUS检查胆囊腺肌增生症患者诊断符合率[94.95%(94/99)]高于单独HFUS[86.87%(86/99)]、LFUS[82.83%(82/99)],灵敏度[96.49%(55/57)]高于HFUS[78.95%(45/57)]、LFUS[73.68%(42/57)],漏诊率[3.51%(2/57)]低于HFUS[21.05%(12/57)]、LFUS[26.32%(15/57)](P<0.05);57例确诊的胆囊腺肌增生症患者均存在不同程度胆囊壁增厚,黏膜组织、浆膜组织完整,囊壁存在囊腔样结构,无明显血流信号,囊腔内伴有“彗星征”强回声。42例非胆囊腺肌增生症患者有24例是由于腹壁肥厚、胆囊位置较深导致初诊疑为胆囊腺肌增生症;14例患者由于胆囊内存在结石,难以清晰显示胆囊轮廓;另4例诊断为急性胆囊炎,由于胆囊壁坏死出血初诊疑为胆囊腺肌增生症。结论HFUS联合LFUS检查应用于胆囊腺肌增生症患者诊断,可提高诊断符合率、灵敏度,降低漏诊率,有助于为临床提供详细信息,为临床诊疗提供依据。Objective To explore the diagnostic value of high frequency ultrasound(HFUS)and low frequency ultrasound(LFUS)in patients with gallbladder adenomyosis.Methods A total of 99 patients with suspected gallbladder adenomyosis in Xuchang Long Yao Hospital from October 2019 to March 2021 were selected.All of them underwent HFUS and LFUS separate and combined examinations.The surgical pathological diagnosis results were the gold standard,and HFUS and LFUS alone and combined examinations were counted.The results were compared with the surgical pathological results.The diagnostic efficiency(coincidence rate,sensitivity,specificity,missed diagnosis rate,misdiagnosis rate)of patients with gallbladder adenomyosis alone and combined with HFUS and LFUS were compared,and the imaging results were analyzed.Results Using surgical pathological diagnosis results as the gold standard,99 patients with suspected gallbladder adenomyosis were diagnosed as positive in 57 cases and negative in 42 cases.LFUS alone detected 44 positive cases and negative 55 cases.HFUS single examination detected positive 46 cases,53 cases were negative.HFUS and LFUS examination showed that 58 cases were positive and 41 cases were negative.The diagnosis coincidence rate of patients with gallbladder adenomyosis in HFUS and LFUS examination[94.95%(94/99)]was higher than that of HFUS[86.87%(86/99)],LFUS[82.83%(82/99)],and the sensitivity[96.49%(55/57)]was higher than HFUS[78.95%(45/57)],[LFUS 73.68%(42/57)],missed diagnosis rate[3.51%(2/57)]was lower than HFUS[21.05%(12/57)],LFUS[26.32%(15/57)](P<0.05).A total of 57 cases of confirmed gallbladder adenomyosis had different degrees of gallbladder wall thickening,mucosal tissue and serosal tissue were intact,and the cyst wall was present.The cyst-like structure had no obvious blood flow signal,and there was a strong echo in the cyst cavity with“comet sign”.Among 42 cases of non-gallbladder adenomyosis,24 cases were diagnosed as suspected gallbladder adenomyosis due to hypertrophy of the abdominal wall and deep g

关 键 词：胆囊腺肌增生症 高频超声 低频超声 诊断符合率 

分 类 号：R445[医药卫生—影像医学与核医学]