胆囊息肉样病变超声分析

【摘要】 目的:探讨超声对胆囊内隆起性病变的诊断与鉴别诊断的价值。方法:回顾性分析超声诊断160例胆囊息肉的声像图表现,并与病理结果进行对照。结果:160例胆囊息肉样病变均经术前超声和术后病理证实。术后病理学捡查示,胆固醇性息肉101例,腺瘤样增生15例,炎性息内14例,腺瘤性息肉22例,腺癌8例。78例良性息肉患者和6例恶性息肉患者年龄50岁以上。合并胆囊结石71例,非肿瘤性息肉直径多6mm以内且数量较多,部分伴有结石。而胆囊腺瘤常为单发,直径多为7～15mm。腺癌直径多10mm以上。结论:超声诊断胆囊息肉可依据息肉数目、大小等情况,判断其病变性质,指导临床手术切除或随访观察。更多还原

【Abstract】 Objective:of ultrasonic gallbladder venereal change within the uplift of the diagnosis and differential diagnosis value.Methods:retrospective analysis of ultrasonic diagnosis of 160 cases of gallbladder polyps ultrasonographic performance,and the comparison with pathology.Results:160 cases of gallbladder polypoid lesion both by preoperative ultrasonography and postoperative pathology.Postoperative pathology and pick up check:cholesterol sex polyp in 101 cases,adenomatoid hyperplasia in 15 cases,inflammatory interest in 14 cases,within the adenomatous polyp 22 cases,adenocarcinoma(8 down 78 patients with benign polyps pour and 6 pour in patients with malignant polyps age over the age of 50.Stones through the merger in 71 cases,the diameter of the adenomatous polyp in 6 mm and more,part number within with stones.And gallbladder adenoma is often more sporadic diameter in 7 to 15 mm.Adenocarcinoma more than 10 mm in diameter in above.Conclusion:ultrasound diagnosis gallbladder polyps can be based on the number,size of polyps,and judge the lesion properties,guide clinical surgery to remove or follow-up.更多还原