彩色多普勒超声联合高频超声在胆囊息肉样病变鉴别诊断中的效能  

Efficiency of color Doppler ultrasound combined with high-frequency ultrasound in diagnosis of benign polypoid lesions of gallbladder

作　　者：靳凤 JIN Feng(Department of Physical Examination of Zhoukou First People’s Hospital,Zhoukou 466000 Henan,China)

机构地区：[1]周口市第一人民医院体检科,河南周口466000

出　　处：《中国民康医学》2024年第23期113-115,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:分析彩色多普勒超声(CDS)联合高频超声在胆囊息肉样病变(PLG)鉴别诊断中的效能。方法:选取2020年1月至2022年12月该院收治的115例PLG患者进行前瞻性研究。所有患者均行CDS、高频超声检查,并以病理学检查为“金标准”,分析CDS、高频超声检查单项及联合检查在PLG鉴别诊断中的效能,并采用Kappa检验分析不同检查方法诊断与病理检查的一致性。结果:经病理学检查结果显示,115例PLG患者中恶性22例,良性93例(胆固醇息肉37例、炎性息肉25例、腺瘤18例、其他13例);CDS检查诊断恶性29例,良性86例;高频超声诊断恶性29例,良性86例;CDS、高频超声联合诊断恶性23例,良性92例;CDS、高频超声联合诊断恶性PLG的准确度高于CDS、高频超声单项诊断,差异有统计学意义(P<0.05);Kappa检验结果显示,CDS诊断恶性PLG的结果与病理检查结果的一致性尚可(Kappa=0.674);高频超声诊断恶性PLG的结果与病理检查结果的一致性尚可(Kappa=0.724);CDS、高频超声联合检查诊断恶性PLG的结果与病理检查结果的一致性良好(Kappa=0.917)。结论:CDS、高频超声联合检查诊断恶性PLG的结果与病理学检查结果的一致性良好,且联合检查在PLG鉴别诊断中的效能高于二者单项检查。Objective:Analyze the efficacy of color Doppler ultrasound(CDS)combined with high-frequency ultrasound in the differential diagnosis of gallbladder polypoid lesions(PLG).Methods:A prospective study was conducted on 115 PLG patients admitted to the hospital from January 2020 to December 2022.All patients underwent CDS and high-frequency ultrasound.Using the pathological examination results as the gold standard,the efficiencies of single and combined examination of CDS,high-frequency ultrasound in the diagnosis of benign PLG were analyzed.Kappa test was used to analyze the consistency between different diagnostic methods and pathological examination.Results:The pathological examination showed that among 115 patients with suspected benign PLG,22 cases were malignant,93 cases of benign(including 37 cases of cholesterol polyps,25 cases of inflammatory polyps,18 cases of adenomas and 13 cases of others).CDS examination showed 29 cases of malignant and 86 cases of benign.High-frequency ultrasound showed 29 cases of malignant and 86 cases of benign.CDS combined with high-frequency ultrasound showed 23 cases of malignant and 92 cases of benign.The accuracy of the combined diagnosis of malignant PLG by CDS and high-frequency ultrasound is higher than that of CDS and high-frequency ultrasound alone,and the difference is statistically significant(P<0.05).The Kappa test results showed that the consistency between CDS diagnosis of malignant PLG and pathological examination results was acceptable(Kappa=0.674);The consistency between the results of high-frequency ultrasound diagnosis of malignant PLG and pathological examination is acceptable(Kappa=0.724);The consistency between the results of CDS and high-frequency ultrasound combined examination in diagnosing malignant PLG and pathological examination is good(Kappa=0.917).Conclusions:The consistency between the results of CDS and highfrequency ultrasound combined examination in the differential diagnosis of malignant PLG and pathological examination is good,and the combined ex

关 键 词：胆囊息肉样病变 彩色多普勒超声 高频超声 诊断 

分 类 号：R575.6[医药卫生—消化系统]