高频超声联合多普勒超声检查在良性胆囊息肉样病变诊断中的应用

Application of high frequency ultrasonography combined with doppler ultrasonography in the diagnosis of benign gallbladder polypoid lesions

  • 摘要:
      目的  探讨高频超声联合多普勒超声检查在良性胆囊息肉样病变诊断中的应用价值。
      方法  回顾性分析本院100例胆囊息肉样病变患者的临床资料,术前行高频超声、彩色多普勒超声检查。以手术病理为标准,判断高频超声结合彩色多普勒超声诊断效能。
      结果  高频超声联合多普勒超声诊断敏感度、特异度、准确度分别为93.68%、60.00%、92.00%; 高频超声联合多普勒超声检查良性胆囊息肉样病变中,团状、乳头状或桑葚状占比高于基底较宽、带蒂或基底狭窄息肉(P < 0.05); 高回声占比高于稍高回声、等回声、强回声(P < 0.05); 单发占比高于多发(P < 0.05)。
      结论  良性胆囊息肉样病变诊断中应用高频超声联合多普勒超声检查的敏感度、特异度及准确度较高。

     

    Abstract:
      Objective  To evaluate the value of high frequency ultrasonography combined with doppler ultrasonography in the diagnosis of benign gallbladder polypoid lesions.
      Methods  The clinical data of 100 patients with gallbladder polypoid lesions in our hospital were retrospectively analyzed, and preoperative high-frequency ultrasound and color doppler ultrasound were performed. Diagnostic efficacy of high frequency ultrasound and color doppler ultrasound were evaluated taking surgical pathology Results as standard.
      Results  The diagnostic sensitivity, specificity and accuracy of high-frequency ultrasound combined with doppler ultrasound were 93.68%, 60.00% and 92.00%, respectively; in the benign polypoid lesions of the gallbladder examined by high-frequency ultrasound and doppler ultrasound, the proportions of cluster-like, papillary or mulber-like lesions were higher than that of broader base, pedicle or narrow base (P < 0.05); the proportion of hyperechoic polyps was higher than that of slightly hyperechoic, isoechoicand hyperechoic polyps(P < 0.05); the proportion of single polyp was higher than that of multiple polyps (P < 0.05).
      Conclusion  High frequency ultrasonography combined with doppler ultrasonography has high sensitivity, specificity and accuracy in the diagnosis of benign gallbladder polypoid lesions.

     

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