健康体检中超声诊断胆囊息肉样病变应用价值.docVIP

健康体检中超声诊断胆囊息肉样病变应用价值【摘要】 目的 探讨健康体检中超声诊断胆囊息肉样病变的意义。 方法 对1698例健康体检人群中胆囊息肉样病变进行了总结分析。结果 超声检查健康体检人群1698 例,其中非胆囊息肉组1588例(93.52%),检出胆囊息肉组110例(6.48%),其中单发息肉组86例(5.06%),多发息肉组24例(1.41%),伴有胆囊炎性改变19例(1.12%),合并脂肪肝的35例(2.06%),合并胆囊结石或胆囊附壁结晶10例(0.56%),合并脾大2例(0.12%),合并慢性胰腺炎的3例(0.18%)。 结论 超声检查在体检中能及时发现胆囊息肉样病变,早期诊治以提高人群的健康水平。 【关键词】 健康体检;超声检查;胆囊息肉样病变 Application value of ultrasound diagnosis of polypoid lesions of gallbladder in physical exam ZHANG Zhan-dong. Province Guangzhou Chinese medicine hospital ultrasound room,Guangdong,Guanzhou 510130,China 【Abstract】 Objective To investigate the physical examination in the ultrasound diagnosis of gallbladder polypoid lesions of significance. Methods The 1698 cases of physical examination among polypoid lesions of gallbladder were analyzed. Results Ultrasonography 1698 cases of healthy people, including non-1588 cases of gallbladder polyp group (93.52%), detected 110 cases of gallbladder polyp group (6.48%), in which a single group of 86 cases of polyps (5.06%), multiple polyps Group 24 cases (1.41%), accompanied by a change of 19 cases of cholecystitis (1.12%), the merger of the 35 cases of fatty liver (2.06%), combined gallstone or gallbladder wall crystallization of 10 (0.56%), two cases of splenomegaly merger (0.12%), the merger of the three cases of chronic pancreatitis (0.18%). Conclusion Ultrasonography can be in the physical examination to detect polypoid lesions of gallbladder, early diagnosis and treatment to improve the health of populations. 【Key words】 Healthy physical;Examination;Ultrasonography;Polypoid lesions of gallbladder 胆囊息肉样病变是临床上常见的一种仅次于胆囊结石的直径 2 cm,常单发,同时合并结石也多见。对区分良恶性疾病有一定价值。 3 讨论 3.1 随着超声检查的日趋普及成熟,胆囊息肉样病变的检出率不断提高,超声检查发现5.3%人群患有胆囊息肉[1]。这可能与今天人类的饮食习惯、生活节奏的加快及环境污染有关,使得胆囊息肉的发病率逐渐增高,由于胆囊息肉多数无症状,使得胆囊息肉癌变率也逐渐增高,基于这三个特点,B超体检尤为重要,本组胆囊息肉样病变男性多于女性,35～55岁发病率最高,绝大多数无症状,少数右肩后背痛中上腹部隐痛。根据多年来息肉样病变与病理结果的对照分析,发现回声较强的体积较小的多发的考虑胆固醇性息肉占绝大多数,胆固醇性息肉是由于胆固醇代谢局部紊乱,吞噬了脂质的组织细胞大量堆积在胆囊壁,以致胆囊黏膜胆固醇结晶沉积。其次炎性息肉,为炎性反应刺激所致的一种