三维超声在胆囊疾病诊断中的价值

Diagnostic Value of 3-dimensional Ultrasonographic Imaging in Gallbladder Diseases

目的:评价三维超声在诊断胆囊病变中的价值。方法:104例胆囊疾病患者,在清晰的二维图像基础上进行三维重建,对比两者诊断价值,评价三维超声在胆囊疾病中的临床应用价值。结果:三维超声可清晰显示胆囊息肉是否带蒂,胆囊腺瘤基底部的宽和窄,胆囊腺肌增生症及胆囊癌病变与胆囊壁的关系,均优于二维超声,P<0.05。结论:三维超声成像在胆囊病变诊断中较二维超声提供了更丰富、更准确的信息,有助于胆囊疾病的诊断。

Objective To evaluate the clinical value of three-dimensional ultrasonographic imaging in pa- tients with gallbladder diseases. Methods One hundred and four patients with gallbladder diseases were pro- spectively studied. All patients underwent routine two-dimensional uhrasonographic（2D） imaging assessment of the gallbladder and the acquisition of three-dimensional ultrasonographic （3D） imaging. The two techniques were reported independently of each other and the diagnoses were compared to evaluate the clinical value of three-di- mensional ultrasonographic imaging. Results 3D ultrasonographic imaging could clearly demonstrate the pres-ence of pedicle in gallbladder polyps and the spatial size of fundus in adenoma of the gallbladder .Also 3D ultrasonographic imaging could clearly demon-strate the relationship of the gallbladder wall with both gallbladder adenomyomatosis and gallbladder carcinoma. The acquisition of three-dimensional uhrasonographic （3D） imaging were better than that of two-dimensional im- aging（P 〈 0.05）. Conclusion Three-dimensional uhrasonographic （3D） imaging may provide more fraitful and accurate clinic information for the diagnosis and treatment of gallbladder diseases than two-dimensional uhraso- nographic（2D） imaging.