【摘要】 目的探讨经腹部彩超在良性胆囊息肉样病变诊断中的临床价值。方法选取2016年1月至2017年12月的200例良性胆囊息肉样病变患者为研究对象,均经手术病理检查确诊。患者均实施经腹部彩色多普勒超声检查,并以病理结果为标准,判断经腹部彩超诊断的准确性。结果经腹部彩色多普勒超声诊断的准确率为96.00%。不同病理类型超声图像特征存在差异,胆固醇息肉单发或多发,基底部较狭窄,听及高强度回声,无明显血流信号。炎性息肉可为单发,也可为多发,基底部较宽,存在高回声,无明显血流信号。胆囊结石多为单发,存在中高强度回声,多见于胆囊体。胆囊腺瘤多为单发,存在于胆囊颈,基底部较宽,存在高回声或强回声。结论经腹部彩色多普勒超声在良性胆囊息肉样病变诊断中的应用效果理想。更多还原

【Abstract】 Objective To explore the clinical value of abdominal color Doppler ultrasound in diagnosis of benign gallbladder polypoid lesions. Methods A total of 200 patients with benign gallbladder polypoid lesions from January 2016 to December 2017 were selected as the study objects and diagnosed by pathological examination. All patients underwent abdominal color Doppler ultrasonography, and the diagnostic accuracy was judged by the pathological results. Results The diagnostic accuracy rate of abdominal color Doppler ultrasound was 96.00%. Ultrasonographic features of different pathological types were different. Cholesterol polyps were solitary or multiple, with narrow basal areas, high-intensity echoes and no obvious blood flow signals. Inflammatory polyps might be solitary or multiple, with a wide base, high echo and no obvious blood flow signal. Cholecystolithiasis was mostly solitary and had a medium and high intensity echo, most commonly seen in the body of the gallbladder. The adenoma of the gallbladder was mostly solitary, and was located in the neck of the gallbladder, with a broad base and a high echo or strong echo. Conclusion The abdominal color Doppler ultrasound is effective in the diagnosis of benign gallbladder polypoid lesions.更多还原