经腹部彩色多普勒超声诊断良性胆囊息肉样病变的应用  

Application of Transabdominal Color Doppler Ultrasonography in Diagnosis of Benign Gallbladder Polypoid Lesions

作　　者：王洪香 WANG Hongxiang(Department of Special Inspection,Dezhou Hospital of Traditional Chinese Medicine,Dezhou,Shandong Province,253000 China)

机构地区：[1]德州市中医院特检科,山东德州253000

出　　处：《世界复合医学》2022年第8期36-39,共4页World Journal of Complex Medicine

摘　　要：目的探讨对良性胆囊息肉样病变患者采用经腹部彩色多普勒超声方法完成诊断后获得临床效果。方法选取2018年1月—2020年12月德州市中医院收治的40例良性胆囊息肉样病变患者进行诊断研究;将手术病理检查结果作为参考,临床对患者展开经腹部彩色多普勒超声诊断,就诊断结果进行观察分析。结果对所有患者完成手术病理检查后,胆囊胆固醇息肉患者27例,胆囊结石患者2例,炎性息肉患者8例,胆囊腺肌症患者1例,胆囊腺瘤患者1例;完成腹部彩色多普勒超声检查后,胆囊胆固醇息肉患者26例,胆囊结石患者1例,炎性息肉患者6例,胆囊腺肌症患者3例,胆囊腺瘤患者3例。对所有患者完成腹部彩色多普勒超声检查后,胆囊壁表现出中等或强回声于胆囊腔突入情况,血流信号不明显。各病理学类型息肉表现出的图像特征相异,对胆囊壁回声进行观察发现,显示高回声、稍高回声、等回声以及强回声例数分别为31例、7例、1例以及1例;形态为乳头状以及团状患者例数为23例。基底较宽患者19例,基底较窄或者带蒂患者21例。属于单发以及多发患者例数分别为19例以及21例。患者病灶大小:直径4~19 mm,平均(9.25±1.35)mm。表现出血流信号患者6例,其中表现出点状血流信号患者2例,表现出树枝状或者条状血流信号患者4例。完成检查后,患者均无频谱显示。检查期间,阻力指数为0.5~0.7,平均(0.6±0.1)。结论经腹部彩色多普勒超声诊断方式有效应用后,可对良性胆囊息肉样病变患者疾病类型加以明确,从而为疾病诊治提供有力依据,对治疗针对性做出保证。Objective To investigate the clinical effect of the diagnosis of benign gallbladder polypoid lesions by transabdominal color Doppler ultrasonography.Methods Forty patients with benign gallbladder polypoid lesions admitted to Dezhou Hospital of Traditional Chinese Medicine from January 2018 to December 2020 were selected for diagnostic research.Taking the surgical and pathological examination results as a reference,the patients were clinically diagnosed by transabdominal color Doppler ultrasound,and the diagnostic results were observed and analyzed.Results After the operation and pathological examination of all patients,27 patients were with cholesterol polyps,2 patients with gallbladder stones,8 patients with inflammatory polyps,1 patient with adenomyosis of the gallbladder,and 1 patient with gallbladder adenoma.After completion of abdominal color Doppler ultrasonography,there were 26 patients with gallbladder cholesterol polyps,1 patient with gallbladder stones,6 patients with inflammatory polyps,3 patients with gallbladder adenomyosis,and 3 patients with gallbladder adenoma.After completion of abdominal color Doppler ultrasonography in all patients,the gallbladder wall showed moderate or strong echoes protruding into the gallbladder cavity,and the blood flow signal was not obvious.Different pathological types of polyps showed different image features.The echo of the gallbladder wall was observed and found that the number of hyperechoic,slightly hyperechoic,isoechoic and hyperechoic cases were 31,7,1 and 1 respectively.The number of patients with papillary and globular morphology was 23.There were 19 patients with wide base and 21 patients with narrow or pedunculated base.The number of single and multiple patients were 19 and 21,respectively.The patient′s lesion size:4-19 mm,average(9.25±1.35)mm in diameter.There were 6 patients with blood flow signals,including 2 patients with punctate blood flow signals,and 4 patients with dendritic or strip-shaped blood flow signals.After the examination was completed,ther

关 键 词：良性胆囊息肉样病变 经腹部彩色多普勒超声诊断 手术病理 诊断结果 

分 类 号：R445.1[医药卫生—影像医学与核医学]