摘要
目的评价超声对原发性胆囊癌的诊断价值及漏误诊原因分析。方法选择胆囊占位病变98例,对其术前超声声像图表现进行分析,并与病理结果对照,重点分析超声诊断胆囊癌漏、误诊原因。结果经手术病理证实胆囊癌70例,超声诊断胆囊癌与病理结果对照符合率为75.7%(53/70);漏诊15例,漏诊率为21.4%(15/70),其中结节型5例(33.3%),厚壁型9例(60.0%),混合型1例(6.7%);误诊2例,误诊率为2.9%(2/70),皆为实块型。结论超声诊断胆囊癌有较高的准确率,超声诊断胆囊癌的主要易漏诊类型为结节型和厚壁型,易误诊类型为实块型。
Objective To evaluate the value of ultrasonic diagnosis of the primary gallbladder carcinoma and analyze the causes of missed diagnosis and misdiagnosis.Methods 98 cases with gallbladder occupying le-sions were collected to carry out a retrospective study and make a contrast of pathology results on the pre-operative sonogram and the causes of missed diagnosis and misdiagnosis were mainly analyzed.Results 70 cases of gallbladder carcinoma was confirmed by operation and pathology,accuracy:75.7%(53/70);15 cases of missed diagnosis:21.4% (15/70),and among them,5 cases of nodular type (33.3%),9 cases of thick-wall type (60.0%),1 cases of mixed type(6.7%);2 cases of misdiagnosis:2.9%(2/70),both solid biock.Conclusion The ultrasound diagnosis of gallbladder carcinoma had a higher accuracy.The main types of easily-missed diagnosis in ultrasound diagnosis gallbladder carcinoma were nodular type and thick-wall type,and the easily-misdiagnosed type is solid biock.
出处
《新疆医科大学学报》
CAS
2014年第2期211-213,共3页
Journal of Xinjiang Medical University
基金
新疆医科大学科研创新基金(XJC201142)
关键词
原发性胆囊癌
超声诊断
彩色多普勒
primary gallbladder carcinoma
ultrasonic diagnosis
color doppler