低频超声联合高频超声对胆囊增生性疾病的诊断价值

程林; 梅勇

doi:10.3969/j.issn.1001-5256.2016.07.027

低频超声联合高频超声对胆囊增生性疾病的诊断价值

DOI: 10.3969/j.issn.1001-5256.2016.07.027

程林,
梅勇

1. 新疆图木舒克市人民医院特检科
2. 石河子大学医学院第二附属医院功能科

详细信息

中图分类号: R445.1;R575.6
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出版历程
- 出版日期: 2016-07-20

The diagnostic value of low-frequency ultrasound combined with high-frequency ultrasound in hyperplastic of the gallbladder

Cheng Lin,
Mei Yong

摘要

摘要: 目的探讨低频超声联合高频超声诊断胆囊良性病变的临床价值。方法回顾性分析2015年1月-2016年1月新疆图木舒克市人民医院门诊收治的经手术病理证实为胆囊良性病变患者110例。所有患者均先行常规低频超声检查并记录检查结果;然后联合高频超声进行检查并记录结果。对比分析常规低频超声检查和联合高频超声检查的病理诊断符合率。计数资料组间比较采用χ2检验。结果110例患者中,常规低频超声检查与病理诊断结果相符合的有83例;联合高频超声检查与病理诊断结果相符合有102例,其中胆囊息肉样病变70例（68.63%）,胆囊腺肌增生症32例（31.37%）,另有8例误诊,误诊率为7.3%;低频超声联合高频超声检查的病理诊断符合率（92.73%）明显高于低频超声检查（75.45%）,差异有统计学意义（χ2=12.266,P=0.001）。结论低频超声联合高频超声检查,有利于提高胆囊良性病变的诊断准确率。
- 胆囊疾病 /
- 超声检查 /
- 诊断
Abstract: Objective To explore the clinical value of low- and high- frequency ultrasound in the diagnosis of benign lesions of the gallbladder.Methods A retrospective analysis was performed in 110 outpatients with pathologically confirmed benign lesions of the gallbladder in our hospital from January 2015 to January 2016. All patients were examined with low- frequency ultrasound,and the results were recorded. Then,they were examined with a combination of low- and high- frequency ultrasound,and the results were recorded. The rate of agreement with pathological diagnosis was compared between the two examination methods. The chi- square test was used for comparison of categorical data between groups. Results In the 110 patients,83 had the low- frequency ultrasound results in accordance with pathological diagnosis; 102 had the low- and high-frequency ultrasound results in accordance with pathological diagnosis,consisting of 70 cases of polypoid lesions of the gallbladder( 68. 63%) and32 cases of adenomyomatosis of the gallbladder( 31. 37%). Eight( 7. 3%) of the 110 patients were misdiagnosed by the combined examination.The rate of agreement with pathological diagnosis of the combined examination( 92. 73%) was significantly higher than that of low- frequency ultrasound( 75. 45%)( χ2= 12. 666,P = 0. 001). Conclusions A combination of low- and high- frequency ultrasound helps increase the diagnostic rate for benign lesions of the gallbladder.
- gallbladder diseases /
- ultrasonography /
- diagnosis

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参考文献(12)

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