高频超声联合彩色多普勒超声诊断胆囊息肉样病变价值分析*

doi:10.3969/j.issn.1672-5069.2023.02.034

摘要/Abstract

摘要： 目的分析高频超声联合彩色多普勒超声检查诊断胆囊息肉样病变的价值。方法 2019年4月～2022年4月我院诊治的胆囊息肉样病变(PLG)患者71例,使用HD11型高频超声和SONOLINE Premier型彩色多普勒超声检查,所有患者接受腹腔镜下胆囊息肉切除术,取组织行病理学检查。以后者为金标准,采用Kappa系数检验,分析高频超声联合彩色多普勒超声检查的诊断价值。结果在71例PLG患者中,经组织病理学检查,诊断为良性病变67例,腺癌4例;高频超声联合彩色多普勒超声检查诊断为良性病变66例(98.5%),高频超声或彩色多普勒超声检查诊断分别为64例(95.5%)和63例(94.0%),无显著性差异(P>0.05);使用高频超声联合彩色多普勒超声检查诊断PLG的敏感度、特异度、准确率分别为98.5%、100.0%和98.6%,与组织病理学检查的一致性(Kappa=0.881),显著高于高频超声诊断(分别为95.5%、75.0%、94.4%,Kappa=0.571)或彩色多普勒超声检查诊断(94.0%、75.0%、93.0%,Kappa=0.510)。结论使用高频超声联合彩色多普勒超声检查诊断和判断胆囊息肉样病变性质的准确度较高,能够指导临床作出合适的处理决定。

关键词: 胆囊息肉样病变, 高频超声, 彩色多普勒超声, 组织病理学检查, 诊断

Abstract: Objective The aim of this study was to analyze the diagnostic performance of high-frequency and color Doppler ultrasonography in judging the benign and malignant gallbladder polyps. Methods 71 patients with polypoid lesions of gallbladder (PLG) were encountered in our hospital between April 2019 and April 2022, and all patients underwent HD11-type high-frequency and SONOLINE Premier color Doppler ultrasonography. All patients received laparoscopic cholecystectomy (LC) and histopathological examination was performed after operation. Results Out of the 71 patients with PLG, the histopathological examination showed that the benign lesions were found in 67 cases and the adenocarcinoma was found in 4 cases; the high-frequency and color Doppler ultrasonography demonstrated the benign gallbladder polyps in 66 cases(98.5%), and that was 64 cases (95.5%) by high-frequency ultrasonography or 63 cases (94.0%) by color Doppler ultrasonography(P>0.05); the sensitivity, specificity and accuracy were 98.5%, 100.0% and 98.6% by the high-frequency and color Doppler ultrasonography combination detection with the Kappa of 0.881, much excellent compared to 95.5%, 75.0% and 94.4% by high-frequency ultrasonography (Kappa=0.571) or 94.0%, 75.0% and 93.0% by color Doppler ultrasonography (Kappa=0.510). Conclusion The combination of high-frequency and color Doppler ultrasonography in diagnosing gallbladder polyps is efficacious, which could guide the clinicians to make an appropriate decisions.

Key words: Polypoid lesions of gallbladder, High-frequency ultrasound, Color Doppler ultrasound, Pathology, Diagnosis

舒开凤, 糜春, 刘微微, 尹修文. 高频超声联合彩色多普勒超声诊断胆囊息肉样病变价值分析^*[J]. 实用肝脏病杂志, 2023, 26(2): 286-289.

Shu Kaifeng, Mi Chun, Liu Weiwei, et al.. Diagnostic performance of high-frequency and color Doppler ultrasonography in judging the benign and malignant gallbladder polyps[J]. Journal of Practical Hepatology, 2023, 26(2): 286-289.

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高频超声联合彩色多普勒超声诊断胆囊息肉样病变价值分析^*

Diagnostic performance of high-frequency and color Doppler ultrasonography in judging the benign and malignant gallbladder polyps

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