摘要
目的探究经腹部彩超联合高频超声诊断良性胆囊息肉样病变的临床应用价值。方法回顾性选取徐州市第六人民医院2019年1月—2020年12月期间收入的100例良性胆囊息肉样病变患者作为研究对象,所有患者均进行了经腹部彩超联合高频超声诊断,与手术病理诊断结果对比,评判其诊断的准确度,同时分析不同类型胆囊息肉样病变的声像图差异。结果腹部彩超联合高频超声诊断良性胆囊息肉样病变结果与手术病理诊断结果对比,漏诊2例,误诊2例,诊断准确度为96.00%(96/100),诊断准确度较高。良性胆囊息肉样病变联合诊断发现,病灶发生部位表现上,胆固醇息肉多见于胆囊体部占比77.55%,炎性息肉多见于胆囊底部占比53.33%,胆囊腺瘤多见于胆囊颈部占比52.38%,差异有统计学意义(χ^(2)=40.046,P<0.05);病灶数量表现上,胆固醇息肉多为多发占比61.22%,炎性息肉及胆囊腺瘤多为单发占比分别为60.00%和100.00%,差异有统计学意义(χ^(2)=22.690,P<0.05);病灶形态表现上,胆固醇息肉多见基底较窄占比较高占比69.39%,炎性息肉、胆囊腺瘤多见基底较宽占比56.67%和100.00%,差异有统计学意义(χ^(2)=28.644,P<0.05)。结论良性胆囊息肉样病变患者接受经腹部彩超联合高频超声诊断,诊断准确度较高,且可根据胆囊息肉样病变的不同声像图表现进行息肉类型的鉴别,整体应用效果显著。
Objective To explore the clinical value of transabdominal color Doppler ultrasound combined with high frequency ultrasonography in the diagnosis of benign gallbladder polypoid lesions.Methods A total of 100 patients with benign gallbladder polypoid lesions admitted to Sixth People′s Hospital of Xuzhou from January 2019 to December 2020 were retrospectively selected as the research objects.All patients were diagnosed by transabdominal color Doppler ultrasound combined with high-frequency ultrasonography,and compared with the results of surgical and pathological diagnosis to evaluate the accuracy of diagnosis,and analyze the differences in sonographic images of different types of gallbladder polypoid lesions.Results The results of abdominal color Doppler ultrasound combined with high-frequency ultrasonography in the diagnosis of benign gallbladder polypoid lesions were compared with the results of surgical and pathological diagnosis.There were 2 cases of missed diagnosis and 2 cases of misdiagnosis.The diagnostic accuracy was 96.00%(96/100),and the diagnostic accuracy was high.The combined diagnosis of benign gallbladder polypoid lesions found that in terms of the location of the lesions,cholesterol polyps were more common in the body of the gallbladder,accounting for 77.55%,inflammatory polyps were more common in the bottom of the gallbladder,accounting for53.33%,and gallbladder adenomas were more common in the neck of the gallbladder,accounting for 52.38%,the difference was statistically significant(χ^(2)=40.046,P<0.05).In terms of the number of lesions,cholesterol polyps were mostly multiple,accounting for 61.22%,and inflammatory polyps and gallbladder adenomas were mostly single,accounting for 60.00%and 100.00%,respectively,and the difference was statistically significant(χ^(2)=22.690,P<0.05).In terms of lesion morphology,cholesterol polyps were more common with narrow bases,accounting for69.39%,and inflammatory polyps and gallbladder adenomas were more common with wide bases,accounting for 56.67%and 100.00
作者
王玲
WANG Ling(Department of Ultrasound,Sixth People′s Hospital of Xuzhou,Xuzhou,Jiangsu Province,221000 China)
出处
《世界复合医学》
2022年第8期59-62,共4页
World Journal of Complex Medicine
关键词
经腹部彩超
高频超声
良性胆囊息肉样病变
胆固醇息肉
Transabdominal color ultrasound
High frequency ultrasound
Benign gallbladder polypoid lesions
Cholesterol polyps
