胆囊息肉样病变超声诊断的临床分析

The Ultrasound Diagnosis and Analysis of the Polyoid Lesion Gallbladder

目的:探讨胆囊息肉样病变的声像图表现与病理改变的关系,分析超声诊断对手术指征的临床价值。方法:对50例经手术和病理切片证实的胆囊息肉样病变的声像图和病理诊断进行回顾性分析。结果:胆固醇息肉45例(90%),表现为多发病灶,平均直径0.6 cm;腺肌瘤4例(8%);腺癌1例(2%)。结论:根据超声声像图上息肉数目、大小,与胆囊壁的关系等情况可初步判断其性质,指导临床选择治疗方案。

Objective:To investigate the relation between the Ultrasonographic images and the pathological aspect of polypoid lesions of gallbladder(PLG)and theusage in directing clinical management.Methods:Retrospectiv analysis was performed for the relation between the ultrasonographic images and pathologicalaspect of 50cases with polypoid lesions of gallbladder who were cert ified by the operation and pathologies.Results:Among them,there are 45 cases with cholesterol polyps.Most of cholesterol polyps are multifocal,narrow pedicle and 0.6cm in average diameter.And there are 4 cases with gallbladder nflammatory polyps,1 cases with adenocarcinoma.Conclusion:The nature of polypoid lesion is determined by numbers,size of pedicle of the polyp with ultrasonography to help dinidan out selecting treatments.