高频超声联合多普勒超声诊断良性胆囊息肉样病变的临床应用价值研究

摘要

Objective To investigate the diagnostic value of high frequency ultrasound combined with Doppler ultrasound in the diagnosis of benign gallbladder polypoid. Methods A total of 110 cases with benign polypoid lesions of the gallbladder from October 2013 to October 2003 were randomly selected. All patients were checked respectively by high frequency ultrasound combined with abdominal color Doppler ultrasonogra-phy and pathology examination. The clinical data was retrospectively analyzed and two kinds of examination results were compared. Results A to-tal of 110 cases,who performed high frequency ultrasound combined with abdominal ultrasonography and were diagnosed as benign polyps of the gallbladder,were proved by surgical and pathological examination. Cholesterol polyps was found in 56 cases(50. 9% ),inflammatory polyps was found in 25 cases(22. 7% ),gallbladder stones was found in13 cases(11. 8% ),adenoma was found in 4 cases(3. 6% ),adenocarcinoma was fouund in 3 cases(2. 7% ),cystic wall gland disorderwas found in 3 patients(2. 7% ),gland muscle disease was found in 3 cases(2. 7% ), submucosal soft nodule was found in 3 patients(2. 7% ). Comparative analysis of two kinds of inspection methods showed that,the diagnosis rate of high frequency ultrasound combined with abdominal ultrasonography diagnosis was 96. 4%(106 / 110). It has no significant difference,when compared with traditional surgical pathologic examination method( P > 0. 05). The misdiagnosis rate was 3. 6%(4 / 110). Conclusion High frequency ultrasound combined with abdominal ultrasound for clinical diagnosis for benign gallbladder polypi has a high diagnostic rate,the diag-nostic rate is higher and the clinical value is high. Therefore,it can used to screen gallbladder cancer and precancerous lesions.%目的探讨高频超声联合多普勒超声用于良性胆囊息肉样病变的诊断价值。方法选取于2013年10月至2014年10月收治的110例良性胆囊息肉病变患者作为研究对象，分别采用高频超声联合腹部彩色多普勒超声检查和手术病理学进行检查。对比病理结果观察高频超声联合腹部彩色多普勒超声诊断的准确率。结果术前对所有患者采用高频超声联合腹部多普勒超声诊断为良性胆囊息肉的患者共计110例，经手术病理学检查，胆固醇息肉有56例（50.9%），炎性息肉有25例（22.7%），胆囊结石有13例（11.8%），腺瘤有4例（3.6%），腺癌有3例（2.7%），囊壁腺体结构紊乱有3例（2.7%），腺肌症有3例（2.7%），黏膜下层软结节有3例（2.7%）。对比分析两种检查方法，高频超声联合腹部多普勒超声诊断良性胆囊肉样病变的准确率为96.4%（106/110），与传统的手术病理学检查方法经统计分析，差异无显著性（ P ＞0.05）；误诊率为3.6%（4/110）。结论高频超声联合腹部多普勒超声用于良性胆囊息肉的临床诊断，具有诊断准确率较高，可信度较强等优点，可作为胆囊癌前病变的预防依据。