胆囊息肉样病变CT增强及超声表现与病理结果对照分析.docVIP

胆囊息肉样病变CT增强及超声表现与病理结果对照分析 　　【摘要】 目的：探讨CT增强及超声检查在诊断胆囊息肉样病变和鉴别其良恶性中的应用价值。方法：收集35例经手术病理证实为胆囊息肉样病变患者的影像资料（包括CT增强及超声）并与病理结果进行?Ρ取＝峁?：35例胆囊息肉样病变，良性28例，恶性7例。在28例良性病变中，CT增强诊断出20例，定性准确率为71.4%；超声诊断出25例，定性准确率为89.3%。在7例恶性病变中，CT增强诊断出6例，定性准确率为85.7%；超声诊断出5例，定性准确率为71.4%。结论：CT增强和超声均能较好地诊断胆囊息肉样病变。CT增强在鉴别病变的良恶性上优于超声，而超声对良性病变病理分型的诊断价值更高。 　　【关键词】 胆囊息肉样病变； CT； 超声 　　Comparative Analysis on CT Enhancement and Ultrasonography Findings of Polypoid Lesions of Gallbladder with Pathology/ZHU Congcong，YANG Qing.//Medical Innovation of China，2018，15（03）：107-110 　　【Abstract】 Objective：To evaluate the application value of CT enhancement and ultrasound examination in diagnosis polypoid lesions of gallbladder and differential diagnosis of benign and malignant of them.Method：The imaging data of 35 patients with pathologically proved polypoid lesions of the gallbladder（including CT enhancement and ultrasound）were collected and compared with pathological findings.Result：Among 35 cases of polypoid lesions of gallbladder，28 cases were benign，and 7 cases were malignant.20 cases of the 28 benign lesions of gallbladder were diagnosed by CT enhancement，with qualitative accuracy of 71.4%； 25 cases of the 28 benign lesions of gallbladder were diagnosed by ultrasound，with qualitative accuracy of 89.3%.6 cases of the 7 malignant lesions were diagnosed by CT enhancement，with accuracy of 85.7%；5 cases of the 7 malignant lesions were diagnosed by ultrasound，with accuracy of 71.4%.Conclusion：CT enhancement scan and ultrasound examination were both effective in diagnosing polypoid lesions of gallbladder.CT enhancement is superior to ultrasound in differential diagnose of benign and malignant lesions，however，ultrasound was proved to have higher diagnostic value of pathological type of benign lesions. 　　【Key words】 Polypoid lesions of gallbladder； CT； Ultrasound 　　First-author’s address：Affiliated Hospital of Qingdao University，Qingdao 266061，China 　　doi：10.3969/j.issn.1674-4985.2018.03.029 　　胆囊息肉样病变（polypoid le