《胆囊壁增厚超声检查评估分级系统国际专家共识》解读  

Interpretation of the Gallbladder reporting and data system(GB‑RADS)for risk stratification of gallbladder wall thickening on ultrasonography:an international expert consensus

作　　者：杨自逸 刘诗蕾 蔡晨 吴自友 熊逸晨 龚伟[1] Yang Ziyi;Liu Shilei;Cai Chen;Wu Ziyou;Xiong Yichen;Gong Wei(Department of General Surgery,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai Key Laboratory of Biliary Tract Disease Research,Shanghai Research Center of Biliary Tract Disease,Institute of Biliary Tract Disease,Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院普通外科,上海市胆道疾病研究重点实验室,上海市胆道疾病研究中心,上海交通大学医学院胆道疾病研究所,上海200092

出　　处：《中华消化外科杂志》2022年第7期852-857,共6页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(81974371、82172628);上海交通大学医学院附属新华医院院级临床研究项目(21XHDB10)。

摘　　要：2022年2月,全世界首个针对胆囊壁增厚的超声检查评估分级系统(GB‑RADS)国际专家共识发布。GB‑RADS将胆囊壁增厚的恶性风险分为6级,即GB‑RADS 0~5级,风险逐级递增。GB‑RADS主要基于以下胆囊壁超声特征:受累及部位的均匀性和范围(局限型或弥漫型)、胆囊壁层次、壁内特征(囊肿或回声灶)以及胆囊壁与肝脏的交界面等。该系统对胆囊疾病的规范化诊断与治疗具有重要意义。笔者解读该共识,介绍GB‑RADS的评估要点和分级标准,展望其未来应用及研究方向。In February 2022,the world′s first gallbladder reporting and data system(GB-RADS)for the assessment of gallbladder wall thickening on ultrasonography was published in he form of an international expert consensus.The GB‑RADS system classifies gallbladder wall thickening into six levels(GB‑RADS 0‒5),with gradually increasing risk of malignancy.It is mainly based on the following features:symmetry and extent(focal versus circumferential)of involvement,layered appearance,intramural features(including intramural cysts and echogenic foci),interface with the liver.The proposed system is important for the standardized diagnosis and treatment of gallbladder diseases.The authors interpet the consensus,introduce the evaluation points and classification standards,and suggest the future applications and research directions.

关 键 词：胆囊疾病 胆囊癌 胆囊壁增厚 超声 诊断 分级 

分 类 号：R575.6[医药卫生—消化系统]