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

Abstract

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

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

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