摘要
目的:探究彩色多普勒超声诊断胆囊息肉样病变的准确性。方法:选择医院2022年1月~2022年10月收治的102例胆囊息肉样病变患者为研究对象,均采用CT检查与彩色多普勒超声检查,以病理检验结果为金标准,对胆囊息肉样病变诊断结果,诊断效能情况进行观察。结果:102例胆囊息肉样病变中良性病变90例,恶性病变12例。良性病变包括胆固醇性息肉36例、胆囊腺肌增生32例、腺瘤性息肉22例。恶性病变为早期胆囊癌;彩色多普勒超声检查良性病变89例,恶性病变13例,CT检查良性病变78例,恶性病变24例,与病理检验结果相比,彩色多普勒超声检查结果更加准确;彩色多普勒超声检查诊断准确性、灵敏度、特异度、阳性预测值、阴性预测值、诊断符合率高于CT诊断;当彩色多普勒超声诊断中组织指数≥0.6,能够对疾病的良性与恶性程度进行判断。结论:胆囊息肉样病变在检查过程中利用彩色多普勒超声检查能够对疾病的良恶性质进行区分,为临床医师疾病治疗方案的制定提供科学指导,利于患者疾病预后。
Objective:To explore the accuracy of color Doppler ultrasonography in the diagnosis of gallbladder polypoid lesions.Methods:102 patients with gallbladder polyposis disease admitted to the hospital from January 2022 to December 2022 were selected as the research objects.CT examination and color Doppler ultrasound were used for all of them,and pathological examination results were used as the gold standard to observe the diagnostic results and diagnostic efficiency of gallbladder polyposis disease.Results:Among 102 cases of gallbladder polyps,90 cases were benign and 12 cases were malignant.Benign lesions included 36 cases of cholesterol polyps,32 cases of gallbladder gland muscle hyperplasia and 22 cases of adenomatous polyps.The malignant lesions were early gallbladder carcinoma;89 cases of benign lesions and 13 cases of malignant lesions were examined by color Doppler ultrasonography,while 78 cases of benign lesions and 24 cases of malignant lesions were examined by CT.Compared with the results of pathological examination,the results of color Doppler ultrasonography were more accurate.The diagnostic accuracy,sensitivity,specificity,positive predictive value,negative predictive value and diagnostic coincidence rate of color Doppler ultrasound were higher than those of CT diagnosis.When the tissue index of color ultrasound Doppler diagnosis is≥0.6,the benign and malignant degree of the disease can be judged.Conclusion:Color Doppler ultrasonography in the examination of gallbladder polypoid lesions can distinguish the good and bad properties of the disease,provide scientific guidance for clinicians to develop disease treatment plan,and facilitate the prognosis of patients.
作者
周美琴
周坚芳
ZHOU Mei-qin;ZHOU Jian-fang(Department of Ultrasound,Community Health Service Center,Beifeng Street,Fengze District,Quanzhou City,Fujian Quanzhou 362000;Department of Ultrasound,Yongchun Hospital,Quanzhou City,Fujian Province,Fujian Quanzhou 362600)
出处
《中国医疗器械信息》
2023年第6期103-105,148,共4页
China Medical Device Information
关键词
彩色多普勒超声
胆囊息肉样病变
诊断准确性
灵敏度
特异度
color Doppler ultrasound
gallbladder polypoid lesions
diagnostic accuracy
sensitivity
degree of specificity
