高频超声与腹部常规超声诊断胆囊良性病变的应用价值探讨

Discussion and Conventional High-frequency Ultrasound Abdominal Ultrasound Diagnosis of Gallbladder Benign Application Value

目的探讨高频超声与腹部常规超声诊断胆囊良性病变的应用价值。方法回顾性分析2013年2月—2014年12月该院收治的210例经术后病理检查证实的胆囊良性病变患者的B超诊断资料,总结胆囊良性病变的种类,分析各病变的B超影像学特点以及诊断准确率。结果 210例胆囊良性病变患者中,胆囊息肉者75例(35.71%)、急性胆囊炎者32例(15.24%)、胆囊结石者98例(46.67%)、胆囊腺肌增生者5例(2.38%);B超诊断胆囊息肉、急性胆囊炎、胆囊结石、胆囊腺肌增生的准确率分别为90.67%(68例)、84.69%(83例)、93.75%(30例)、80.00%(4例);腹部常规超声联合高频超声检查对罗-阿氏窦的显示率高于腹部常规超声。结论胆囊良性病变B超诊断准确率较高,可作为临床首选诊断方法,对于胆囊腺肌增生者腹部常规超声联合高频超声检查有较高的诊断价值。

Objective To investigate the application value of conventional high-frequency ultrasound and abdominal ultrasound in the diagnosis of benign gallbladder deseases. Methods A retrospective analysis of the B ultrasonography diagnostic data of 210 cases confirmed by pathological examination of the gallbladder benign lesions in our hospital from February 2013 to December2014. Summarize the kinds of benign gallbladder disease and analyse the B-ultrasonic images characteristics of each kind and calculate its diagnostic accuracy rate. Results Among the 210 patients with benign lesions of the gallbladder, 75 cases（35.71%） had gallbladder polyps and 32 cases（15.24%） had acute cholecystitis and 98 cases（46.67%） had gallstones and 5 cases（2.38%） had gallbladder adenomyosis hyperplasia. The B ultrasound diagnosis accuracy rates of gallbladder polyps, acute cholecystitis, gallstones, gallbladder adenomyosis hyperplasia were 90.67%（68 cases）, 84.69%（83 cases）, 93.75%（30 cases）, 80.00%（4 cases）,respectively. The display rate of abdominal ultrasound combined with conventional high-frequency ultrasound is higher than conventional abdomen ultrasound in Romania- Aschoff sinus. Conclusion The B-diagnostic accuracy rate of Gallbladder benign lesions is higher, and could be used as the preferred diagnostic method. For gallbladder adenomyosis hyperplasia, routine abdominal ultrasound combined with high-frequency ultrasound has a high diagnostic value.