原发性胆囊癌的超声诊断价值

Study on the value of ultrasound in diagnosis of primary carcinoma of the gallbladder

目的 探讨原发性胆囊癌 (PCG)的术前诊断。方法 对近 6年来 2 4例经手术、病理证实为PCG的临床表现和超声图象特征进行回顾性分析。结果 (1)、2 4例中 ,男 6例 ,女 18例 ,5 5岁以上者占 91.7%。 (2 )、主要临床表现为上腹痛 (91.7% )和黄疸 (4 5 .8% )。 (3 )、声像图显示胆囊壁不均匀性增厚 15例 (62 .5 % ) ,B超诊断符合率 5 8.3 %。结论 我们应重视 5 5岁以上腹痛、黄疸患者的临床表现和胆囊壁不均匀性增厚。超声对PCG术前诊断有一定的价值。

Objective To discuss the value of ultrasound in the preoperative evaluation of primary carcinoma of the gallbladder (PCG).Methods The clinical manifestation and ultrasonographic characteristics of 24 cases of PCG confirmed by operation and pathology in recent 6 years were retrospectively analysed.Results (1) The 24 patients were 6 males and 18 females, among them 22 cases (91.7%) aged older than 55 years. (2) Clinical symptoms were mainly manifested as upper abdominal pain (91.7%) and jaundice (45.8%). (3) Sonography showed uneven hyperplasia of gallbladder wall in 15 cases (62.5%). The coincidence rate of B ultrasonographic diagnosis was 58.3%.Conclusion We should pay special attention to the clinical manifestation such as abdominal pain and jaundice of patients aged over 55, and to the uneven hyperplasia of gallbladder wall. The ultrasound is of certain value in the preoperative diagnosis of PCG.