超声造影联合高频彩色多普勒超声检查鉴别诊断胆囊息肉样病变良恶性的效能  

Efficiency of contrast-enhanced ultrasound combined with high-frequency color Doppler ultrasound examination in differential diagnosis of benign and malignant polypoid lesions of gallbladder

作　　者：贾冬梅 朱仲智 马青青 JIA Dongmei;ZHU Zhongzhi;MA Qingqing(Department of Ultrasound of Xincai County People’s Hospital,Zhumadian 463500 Henan,China)

机构地区：[1]新蔡县人民医院超声科,河南驻马店463500

出　　处：《中国民康医学》2024年第16期119-121,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察超声造影联合高频彩色多普勒超声检查鉴别诊断胆囊息肉样病变良恶性的效能。方法:回顾性分析2022年3月至2023年3月该院收治的78例胆囊息肉样病变患者的临床资料,根据病理活检结果,将其分为良性组48例和恶性组30例。两组均行高频彩色多普勒超声检查和超声造影检查,比较两组高频彩色多普勒超声图像特征、超声造影参数(开始增强时间、达峰时间),以及高频彩色多普勒超声、超声造影单项及联合检查鉴别诊断胆囊息肉样病变良恶性的效能。结果:恶性组多发息肉占比、息肉有血流占比以及息肉最大直径均高于良性组,差异有统计学意义(P<0.05);恶性组开始增强时间、达峰时间均短于良性组,差异有统计学意义(P<0.05);超声造影联合高频彩色多普勒超声检查诊断恶性胆囊息肉样病变的灵敏度高于两者单项检查诊断,漏诊率低于两者单项检查诊断,差异均有统计学意义(P<0.05)。结论:超声造影联合高频彩色多普勒超声检查鉴别诊断胆囊息肉样病变良恶性的效能高于两者单项检查诊断效能。Objective:To observe efficiency of contrast-enhanced ultrasound combined with high-frequency color Doppler ultrasound examination in differential diagnosis of benign and malignant polypoid lesions of gallbladder.Methods:The clinical data of 78 patients with polypoid lesions of gallbladder admitted to this hospital from March 2022 to March 2023 were retrospectively analyzed.According to the results of pathological biopsy,they were divided into benign group(48 cases)and malignant group(30 cases).High-frequency color Doppler ultrasound examination and contrast-enhanced ultrasound were performed in both groups.The image characteristics of high-frequency color Doppler ultrasound,the contrast-enhanced ultrasound parameters(enhancement starting time,time to peak),and the efficiencies of high-frequency color Doppler ultrasound,contrast-enhanced ultrasound single and combined examinations in the diagnosis of benign and malignant polypoid lesions of gallbladder were compared between the two groups.Results:The proportion of multiple polyps,the proportion of polyps with bloodflow and the maximum diameter of polyps in the malignant group were higher than those in the benign group,and the differences were statistically significant(P<0.05).The starting enhancement time and time to peak of the malignant group were shorter than those of the benign group,and the differences were statistically significant(P<0.05).The enhancement starting time and the time to peak of the malignant group were shorter than those of the benign group,and the differences were statistically significant(P<0.05).Further,the sensitivity of contrast-enhanced ultrasound combined with high-frequency color Doppler ultrasound examinations in the diagnosis of malignant polypoid lesions of gallbladder was higher than that of the two single examinations,the missed diagnosis rate was lower than that of the two single examinations,and the differences were statistically significant(P<0.05).Conclusions:The efficiency of contrast-enhanced ultrasound combined with high-f

关 键 词：高频彩色多普勒超声 超声造影 检查 诊断 胆囊息肉样病变 良恶性 效能 

分 类 号：R445.1[医药卫生—影像医学与核医学]