摘要
目的探讨超声诊断的胆囊息肉样病变(polypoid lesions of the gallbladder,PLG)中各种疾病所占比例及其相应的声像学特点,超声诊断胆固醇性息肉的可靠性。方法对556例超声诊断的PLG的病理结果进行分类,并分析不同大小的胆固醇性息肉超声检查的病理符合率。结果556例超声诊断的PLG中,胆固醇性息肉446例(80.2%),腺瘤性息肉86例(15.5%),炎性息肉18例(3.2%),腺肌症6例(1.1%)。97.3%的胆固醇性息肉长径<1.0cm,且64.6%病例的息肉为多发。超声拟诊胆固醇性息肉的病理符合率可达91.3%。腺瘤性息肉中,长径超过1.0cm者占61.6%,且34.0%有不典型增生或恶变;但也有25%的恶变发生在1.0cm以下的腺瘤中。结论PLG中80%以上为胆固醇性息肉;15.5%为腺瘤性息肉,发生恶变者多≥1.0cm,0.7~0.9cm的腺瘤性息肉也有恶变的可能。超声根据声像学特征作出的胆固醇息肉拟诊的病理符合率可达91.3%,因此是可信的。
Objective To study the proportion and sonographic features of various kinds of diseases in the polypoid lesions of the gallbladder (PLG) diagnosed by ultrasonography, and to explore the reliability of ultrasonography for the diagnosis of PLG. Methods A total of 556 cases of PLG diagnosed by ultrasonography were classified basing on the results of pathological examination. And the accordance rate between ultrasonography and pathological examination in the PLG with different size was analyzed. Results Among t...
出处
《中国微创外科杂志》
CSCD
2008年第1期39-41,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
胆囊息肉样病变
超声诊断
病理检查
Polyp-like cystic lesion
Ultrasonographic diagnosis
Pathological examination
