摘要
目的分析胆囊息肉样病变应用彩色多普勒超声的诊断价值。方法选择胆囊息肉样病变患者50例,所有患者均接受彩色多普勒超声检查。以病理诊断结果作为金标准,分析彩色多普勒超声对胆囊息肉样病变的诊断符合率及影像学特点。结果彩色多普勒超声对胆固醇性息肉、胆囊腺瘤、炎症性息肉、胆囊腺肌瘤样增生、早期胆囊癌的诊断符合率分别为95.45%、83.33%、100.00%、87.50%、100.00%。胆固醇性息肉可发生于胆囊各部位,大小为≤10 mm,属多发,基底窄/有蒂,形状为结节/桑葚状,局部胆囊壁正常,无血流,显示高回声;胆囊腺瘤多发生于胆囊底部,大小为10~16 mm,属单发,基底宽,形状为团块状,局部胆囊壁增厚,无血流,显示中等回声;炎症性息肉也可发生于胆囊各部位,大小为5~13 mm,属多发,基底宽,形状不规则,局部胆囊壁毛糙,无血流,显示高回声;胆囊腺肌瘤样增生多发生于胆囊底部与颈部,大小为9~17 mm,属单发,基底正常/宽,形状为球状,局部胆囊壁正常,有血流,显示低回声/无回声;早期胆囊癌多发生于胆囊底部与颈部,大小为11~25 mm,属单发,基底宽,形状为团块,局部胆囊壁正常,有血流,显示低回声/混合回声。结论在胆囊息肉样病变患者中实施彩色多普勒超声诊断的符合率较高,结合患者的影像学特点有助于明确疾病类型,为后续治疗提供参考。
Objective To analyze the diagnostic value of color Doppler ultrasonography for gallbladder polypoid lesions.Methods 50 patients with gallbladder polypoid lesions were selected,and all of them received color Doppler ultrasonography.The diagnostic compliance rate and imaging characteristics of color Doppler ultrasonography for gallbladder polypoid lesions were analyzed using pathological diagnostic results as the gold standard.Results The diagnostic accuracy of color Doppler ultrasonography for cholesterol polyp,gallbladder adenoma,inflammatory polyp,gallbladder adenomyomatous hyperplasia and early-stage gallbladder cancer was 95.45%,83.33%,100.00%,87.50%,100.00%,respectively.Cholesterol polyps can occurr in various parts of the gallbladder,are≤10 mm in size,multiple,narrow/tipped,nodular/mulberry shaped,with normal localized gallbladder wall,no blood flow,and hypoechoic;gallbladder adenoma occurred mostly at the base of the gallbladder,measuring 10-16 mm,solitary,with a wide base,mass-like shape,localized thickening of the gallbladder wall,no blood flow,and moderate echos;inflammatory polyps also can occurr in various parts of the gallbladder,with a size of 5-13 mm,multiple,wide base,irregular shape,localized gallbladder wall roughness,no blood flow,and hypoechoic;gallbladder adenomyomatous hyperplasia occurred at the base and neck of the gallbladder,with a size of 9-17 mm,solitary,normal/wide base,spherical shape,normal local gallbladder wall,blood flow,and hypoechoic/non-echoic;early-stage gallbladder cancer mostly occurred at the base of the gallbladder and neck,the size was 11-25 mm,solitary,with wide base,mass shape,normal local gallbladder wall,blood flow,and hypoechoic/mixed echoes.Conclusion The Color Doppler ultrasonography shows high diagnostic compliance rate in patients with gallbladder polypoid lesions,and the combination of the imaging characteristics helps to clarify the type of disease and provides a reference for subsequent treatment.
作者
马长征
MA Chang-zheng(Wenshang County People's Hospital,Jining 272500,China)
出处
《中国实用医药》
2024年第15期85-87,共3页
China Practical Medicine
关键词
彩色多普勒超声
胆囊息肉样病变
诊断价值
影像学
Color Doppler ultrasonography
Gallbladder polypoid lesions
Diagnostic value
Imaging
