摘要
目的探讨彩色多普勒超声对良恶性胆囊癌的诊断价值。方法选择原发性胆囊癌(n=88)及胆囊炎(n=100)患者,所有患者都进行常规超声与彩色多普勒超声检查,记录超声特征并判断诊断价值。结果 2组的超声病灶数量、直径、回声、基底等对比,差异都有统计学意义(P <0. 05)。胆囊癌组的Vmax值与RI值显著高于胆囊炎组(P <0. 05)。胆囊癌组中血流分级0级0例,1级5例,2级30例,3级53例;胆囊炎组中0级78例,1级20例,2级2例,3级0例,对比差异有统计学意义(P <0. 05)。超声鉴别诊断良恶性胆囊癌的敏感性与特异性为97. 0%和98. 9%。结论彩色多普勒超声在良恶性胆囊癌中的应用可反映病灶的血流特征,具有很好的鉴别诊断敏感性与特异性。
Objective To investigate the value of color Doppler ultrasound in the diagnosis of benign and malignant gallbladder carcinoma. Methods Patients with primary gallbladder carcinoma( n = 88) and cholecystitis( n = 100) were selected.All patients underwent conventional ultrasound and color Doppler. The ultrasound feature were recorded and the diagnostic values were judged. Results The number of ultrasound lesions,diameter,echo,and basal contrast compared between the 2 groups were statistically significant( P < 0. 05). The Vmax value and the RI value of the gallbladder cancer group were significantly higher than that of the cholecystitis group( P < 0. 05). In the gallbladder cancer group,there were 0 patient were grade 0,5 patients were grade 1,30 patients were grade 2,and 53 patients were grade 3 of blood flow grading. In the group of cholecystitis,there were 78 patients were grade 0,20 patients were grade 1,2 patients were grade 2,and 0 patient were grade 3,the difference were statistically significant( P < 0. 05). The sensitivity and specificity of ultrasound in the differential diagnosis of benign and malignant gallbladder carcinoma were 97. 0% and 98. 9%. Conclusion The application of color Doppler ultrasound in benign and malignant gallbladder carcinoma can reflect the blood flow characteristics of the lesion,and has a good sensitivity and specificity for differential diagnosis.
作者
许红丽
王谷子
李晓光
XU Hongli;WANG Guzi;LI Xiaoguang(Xi'an 141 Hospital,Xi'an,710089)
出处
《实用癌症杂志》
2019年第10期1714-1717,共4页
The Practical Journal of Cancer
关键词
彩色多普勒超声
胆囊癌
胆囊炎
鉴别诊断
血流分级
Color Doppler ultrasound
Gallbladder carcinoma
Cholecystitis
Differential diagnosis
Blood flow grading
