摘要
目的探讨低频超声联合高频超声在胆囊息肉样病变诊断中的临床效果,为临床诊断提供参考依据。方法选取湖北省武汉汉口医院2013年1月至2017年1月收治的87例胆囊息肉样病变患者作为研究对象,均行低频超声与高频超声检查,并与术后病理学结果对照。比较低频超声与低频超声联合高频超声的诊断效果,并分析两种检查方法与术后病理结果的一致性。结果术后病理学报告显示,87例患者中胆囊息肉59例(67.82%),胆囊腺肌增生症6例(6.90%),胆囊腺瘤10例(11.49%),小结节型胆囊癌12例(13.79%);低频超声检出良性胆囊息肉样病变65例,准确率为86.67%(65/75);低频超声联合高频超声检出73例,准确率为97.33%(73/75),低频超声联合高频超声诊断良性胆囊息肉样病变的准确率明显高于低频超声(χ^2=5.797,P<0.05);低频超声联合高频超声诊断良性胆囊息肉样病变的特异度、阳性预测值明显高于低频超声[90.00%与41.18%,97.33%与86.67%],两者比较差异均有统计学意义(χ^2值分别为6.217、5.797,P值分别为0.013、0.016)。结论相较于低频超声,低频超声联合高频超声检查提高了胆囊息肉样病变的鉴别诊断效果,值得临床重视。
Objective To explore the clinical effect of low frequency ultrasound combined with high frequency ultrasound in the diagnosis of polypoid lesions of gallbladder,and to provide reference for clinical diagnosis.Methods From January 2013 to January 2017,87 patients with gallbladder polypoid lesions in Hankou Hospital were selected as the subjects,all the patients were checked by low frequency ultrasound and high frequency ultrasound,the results were compared with postoperative pathological findings.The diagnostic effect were compared between the low frequency ultrasound and low frequency ultrasound combined with high frequency ultrasound,and the consistency between the two inspection methods and postoperative pathological results was analyzed.Results The postoperative pathological report showed that among the 87 patients,59 cases(67.82%)had gallbladder polyp,6 cases(6.90%)had adenomyosis,10 cases(11.49%)had gallbladder adenoma,12(13.79%)had small nodular gallbladder cancer,65(86.67%)had benign polypoid lesions,73(97.33%)had low frequency ultrasound combined with high frequency ultrasound.The accuracy of combined high-frequency ultrasound in the diagnosis of benign gallbladder polypoid lesions was significantly higher than that of low frequency ultrasound(χ^2=5.797,P<0.05);the specificity and positive predictive value of combined low frequency ultrasound and high frequency ultrasound in the diagnosis of benign gallbladder polypoid lesions were significantly higher than those of low frequency ultrasound(90.00%and 41.18%,97.33%and 86.67%).The difference was statistically significant(χ^2=6.217,5.797,P=0.013,0.016).Conclusion Compared with low frequency ultrasound,low frequency ultrasound combined with high frequency ultrasound improves the differential diagnosis effect of gallbladder polypoid lesions,which is worthy of clinical attention.
作者
刘丽琴
张静
孙翔
Liu Liqin;Zhang Jing;Sun Xiang(Department of Imaging,Hankou Hospital of Wuhan City,Hubei Province,Wuhan 430000,China)
出处
《中国综合临床》
2019年第6期540-543,共4页
Clinical Medicine of China
关键词
胆囊息肉样病变
低频超声
高频超声
Polypoid lesions of gallbladder
Low frequency ultrasound
High frequency ultrasound
