经腹部彩色多普勒超声联合高频超声诊断良性胆囊息肉样病变的价值

Abdominal Color Doppler Ultrasonography Combined with High-frequency Ultrasonography Diagnosing Benign Polypoid Lesion of Gallbladder

目的探讨经腹部彩色多普勒超声(腹部超声)联合高频超声诊断良性胆囊息肉样病变的价值。方法回顾性分析2008年1月-2011年11月121例腹部超声联合高频超声检查提示为良性胆囊息肉样病变、且有手术病理检查结果的患者资料进行对照,以此评价经腹部超声联合高频超声对良性胆囊息肉样病变的诊断准确性。结果 121例术前经腹部超声联合高频超声诊断为良性胆囊息肉样病变的患者,手术后病理检查结果示胆固醇息肉62例(51.24%),炎性息肉27例(22.31%),腺瘤6例(4.96%),腺癌3例(2.48%),胆囊结石14例(11.57%),腺肌症3例(2.48%),囊壁腺体结构紊乱3例(2.48%),黏膜下层软结节3例(2.48%)。经腹部超声联合高频超声与手术后病理对比检查,其诊断符合率为78.51%(95/121),误诊率为21.49%(26/121)。结论经腹部超声联合高频超声检查对良性胆囊息肉样病变诊断准确性较高,可为临床预防胆囊癌前病变提供依据。

Objective To investigate the value of abdominal color Doppler ultrasonography（CDU） combined with high-frequency ultrasonography（HFU） diagnosing benign polypoid lesion of gallbladder（B-PLG）.Methods A total of 121 patients with B-PLG diagnosed by CDU combined with HFU between January 2008 and November 2011 were randomly selected.All of the patients underwent the surgery and had the record of surgical pathological examination results,which were compared with the results of the ultrasonography in order to evaluate the diagnostic accuracy of CDU combined with HFU for B-PLG.Results In 121 patients with B-PLG diagnosed by CDU combined with HFU before the surgery, cholesterol polyp was found in 62（51.24%）,infective polyp was found in 27（22.31%）,adenoma was found in 6（4.96%）,adenocarcinoma was found in 3（2.48%）,gallstones was found in 14（11.57%）,adenomyosis was found in 3（2.48%）,the wall structure gland disorder was found in 3（2.48%）,and submucosal soft nodules was found in 3（2.48%） after the surgical pathological examination.Coincidence rate between CDU combined with HFU diagnosis and surgical pathological diagnosis was 78.51%（95/121）,and the misdiagnosis rate of CDU combined with HFU was 21.49%（26/121）.Conclusion The accuracy of CDU combined with HFU diagnosing B-PLG is high,which can help to prevent precancerous lesion of gallbladder cancer.