超声对胆囊壁隆起性病变诊断价值评价.docVIP

超声对胆囊壁隆起性病变诊断价值评价 　　[摘要] 目的 探讨超声对胆囊壁隆起性病变的诊断价值。 方法 对经手术病理证实的胆囊隆起性病变患者50例使用仪器PHILIPS HD11XE，GE LOGIQ 7、探头频率3.5MHz进行胆囊检查。 结果 手术标本经病理组织学检查结果为：增生性病变35例（胆固醇性息肉30例，炎性息肉5例），腺瘤10例，腺肌瘤3例，胆囊癌2例；术前超声对病变性质诊断的符合率为86.0%。各种病变部位、大小、数目、内部结构与囊壁的关系不同。 结论 应用超声诊断胆囊隆起性病变准确率较高，方法简单可靠，无创伤性，对早期诊断具有临床意义，应作为胆囊疾病的首选影像诊断技术。 　　[关键词] 超声；胆囊隆起样病变；诊断 　　[中图分类号] R575.604 [文献标识码] B [文章编号] 1673-9701（2012）02-0097-02 　　 　　Evaluate of ultrasonics diagnostic value to the gallbladder wall uplift venereal change 　　WANG Jie 　　Department of ultrasonography, the peoples hospital of Zhuji in Zhejiang Province, Zhuji 311800, China 　　[Abstract] Objective To study the ultrasounds diagnostic value of the gallbladder wall uplift venereal change. Methods Used PHILIPS HD11XE，GE LOGIQ 7 to 50 gallbladder uplift venereal change patients which have been provided by surgical pathology， probe frequency of 3.5 MHz for gallbladder inspection. Results The results of surgical specimens that have been examinated by histologic is Hyperplastic lesions for 35 cases (Cholesterol polyp for 30 cases, inflammatory polyp for 5 cases), adenoma for 10 cases，Gland fibroids for 3 cases and gallbladder for 2 cases.The diagnose accordance rate of preoperative ultrasonography in the diagnosis of disease resistant properties was 86.0%. All kinds of pathologicals changes，size，number， internal structure and the relationship between the bursa wall was different. Conclusion Application of ultrasonic diagnosis gallbladder uplift venereal change has higher accuracy, the method is simple and reliable and has no traumatic.It has clinical significance in the early diagnosis，it should be as the first choice of gallbladder disease video diagnostic technology. 　　[Key words] Ultrasound;Gallbladder uplift sample lesions; Diagnosis 　　 　　胆囊隆起性病变是指胆囊壁、腔内息肉突起的一类疾病的总称，包括除胆囊结石以外的许多胆囊疾患，常见??有胆囊息肉、腺瘤、胆囊腺肌增生和早期胆囊癌等，随着影像学在临床的广泛应用检出率逐渐增多[1]。本文回顾性分析胆囊壁隆起样病变的患者的临床资料，探讨不同胆囊壁隆起样病变声像图表现特征，现报道如下。 　　 　　1 对象与方法 　　1.1 研究对象 　　选择2004年1月～2011年6月我院胆囊隆起性病变患者50例作为研究对象，