胆囊癌的常规超声与超声造影检查对比分析

Diagnostic value of conventional ultrasound and contrast- enhanced ultrasound for gallbladder carcinoma

目的:探讨常规超声检查及超声造影在胆囊癌诊断中的对比分析。方法:回顾性分析29例经手术及病理证实为胆囊癌的常规超声及超声造影声像图特征及误诊分析。结果:常规超声误漏诊8例,3例误诊为胆泥,2例误诊为慢性胆囊炎胆结石,2例误诊为胆囊息肉,1例胆囊癌伴肝转移仅诊断为肝占位。超声造影误诊1例胆囊腺瘤局灶性癌变为胆囊腺瘤。与常规超声比较超声造影对胆囊癌诊断的符合率从72.4%上升到96.6%。结论:超声造影与常规超声检查相比可提高早期胆囊癌的检出率,对胆囊癌的诊断具有较高的临床价值。

Objective：To investigate the conventional ultrasound and contrast-enhanced ultrasound in the diagno-sis of gallbladder carcinoma. Methods：A retrosPective analysis of 29 cases confirmed by oPeration and Pathology of conventional ultrasound and contrast-enhanced ultrasound sonograPhic features and analysis of misdiagnosis for gall-bladder carcinoma. Results：Conventional ultrasound misdiagnosis in 8 cases,3 cases were misdiagnosed as biliary sludge,2 cases were misdiagnosed as chronic cholecystitis with gallstone,2 cases were misdiagnosed as gallbladderPolyP,1 case of gallbladder carcinoma hePatic metastasis diagnosis of liver sPace occuPying. Contrast enhanced ultra-sound misdiagnosis in 1 case of gallbladder adenoma canceration as focal gallbladder adenoma. ComPared with the conventional ultrasonic sonograPhy on gallbladder cancer diagnostic accordance rate increased from 72. 4% to 96. 6%. Conclusion：Contrast-enhanced ultrasound comPared with conventional ultrasound can imProve the detection rate of early gallbladder,contrast-enhanced ultrasound have a high clinical valve in the diagnosis of gallbladder carcinoma.