彩超与超声造影诊断胆囊腺瘤性息肉与大型胆固醇息肉的价值  

Differential diagnosis of adenomatous polyps of the gallbladder and large cholesterol polyps by color Doppler ultrasound and contrast-enhanced ultrasound

作　　者：徐菱遥 姜社甜 XU Lingyao;JIANG Shetian(Dept,of Ultrasonography,Zhumadian Central Hospital,Zhumadian 463000,China)

机构地区：[1]驻马店市中心医院超声科,河南驻马店463000

出　　处：《华夏医学》2021年第6期30-33,共4页Acta Medicinae Sinica

摘　　要：目的:探析彩超与超声造影(CEUS)诊断胆囊腺瘤性息肉与大型胆固醇息肉的临床价值。方法:收集67例胆囊息肉样病变(PLG)患者临床资料,以手术治疗时采集的息肉标本的病理学检测结果为"金标准",分析彩超和CEUS诊断胆囊腺瘤性息肉与大型胆固醇息肉的灵敏度、特异度和准确度。结果:CEUS诊断的灵敏度为89.6%,特异度为97.4%,准确度为94.0%;彩超诊断灵敏度为79.3%,特异度为78.9%,准确度为79.1%,CEUS诊断的准确度明显高于彩超诊断(P<0.05)。结论:CEUS诊断胆囊腺瘤性息肉与大型胆固醇息肉的临床价值高于彩超。Objective: To discuss the clinical value of color Doppler ultrasound and contrast-enhanced ultrasound(CEUS)in the differential diagnosis of adenomatous polyps in the gallbladder and large cholesterol polyps. Methods: Clinical data of 67 patients with polypoid lesions of the gallbladder(PLG)were collected, and the respective sensitivity, specificity and accuracy differentially diagnosed by color Doppler ultrasound and CEUS were compared based on the pathological examination results of polyp specimens taken during surgical treatment as the gold standard. Results: The sensitivity, specificity and accuracy in the differential diagnosis of adenomatous polyps in the gallbladder and large cholesterol polyps by CEUS were 89.6%, 97.4% and 94.0%, respectively;while the sensitivity, specificity and accuracy by color Doppler ultrasound were 79.3%, 78.9% and 79.1%, respectively. And the accuracy diagnosed by CEUS was obviously higher than that by color Doppler ultrasound. Conclusion: CEUS is more effective in the differential diagnosis of adenomatous polyps in the gallbladder and large cholesterol polyps.

关 键 词：彩超 超声造影 胆囊腺瘤性息肉 大型胆固醇息肉 

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]