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肿瘤性与非肿瘤性胆囊息肉样病变的超声鉴别诊断
引用本文:丁青薇,孙国英,孙宁,王绍文,毛慧芳,王萍,朱征涛,李明. 肿瘤性与非肿瘤性胆囊息肉样病变的超声鉴别诊断[J]. 临床超声医学杂志, 2006, 8(11): 674-676
作者姓名:丁青薇  孙国英  孙宁  王绍文  毛慧芳  王萍  朱征涛  李明
作者单位:001900,上海市宝山中心医院物理诊断科;001900,上海市宝山中心医院物理诊断科;001900,上海市宝山中心医院物理诊断科;001900,上海市宝山中心医院物理诊断科;001900,上海市宝山中心医院物理诊断科;001900,上海市宝山中心医院物理诊断科;001900,上海市宝山中心医院物理诊断科;001900,上海市宝山中心医院物理诊断科
摘    要:目的探讨超声检查对胆囊肿瘤性与非肿瘤性息肉样病变的鉴别诊断价值。方法对所选患者胆囊进行多切面超声检查及病理检查,记录并分析胆囊息肉样病变的部位、大小、数目、形态及声像图特征。结果167例胆囊息肉样病变中,肿瘤性病变17例占10.18%,非肿瘤性病变150例占89.82%。结论实时超声显像有助于从胆囊息肉样病变中及早发现肿瘤性病变。对于5-10mm胆囊腺瘤恶性变和胆囊癌声像图缺乏特异性。

关 键 词:超声检查  胆囊  息肉样病变  诊断  鉴别
收稿时间:2005-11-10
修稿时间:2005-11-10

Ultrasound differentiated diagnosis for both tumor lesions and polypoid lesions of the gallbladder
Ding Qingwei, Sun Guoying, Sun Ning,et al.. Ultrasound differentiated diagnosis for both tumor lesions and polypoid lesions of the gallbladder[J]. Journal of Ultrasound in Clinical Medicine, 2006, 8(11): 674-676
Authors:Ding Qingwei   Sun Guoying   Sun Ning  et al.
Affiliation:Ding Qingwei, Sun Guoying, Sun Ning, et al.
Abstract:Objective To investigate the value of ultrasound in differential diagnosis of tumor lesions and polypoid lesions in gallbladder.Methods Ultrasound and pathology examinations of gallbladders were performed on patients with gallbladder polypoid lesions.The ultrasonic features of the polypoid lesions,such as position,size,number,appearance and ultrasonic characteristics were recorded.Results The percent of cases with tumor lesions were 10.18%(17/167);and cases with polypoid lesions were 89.82%(150/167).Conclusion Real time ultrasonography is very useful to early find tumor lesions from polypoid lesions of the gallbladder,but it is also lack of specificity for differential diagnosis between malignant adenoma and gallbladder cancer with the diameter from 5 to 10 mm.
Keywords:Ultrasonography   Gallbladder   Polypoid lesions   Diagnosis, differential
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