Comparative analysis of ultrasound diagnosis and pathology of 100 casesof gallbladder polypoid change
100例胆囊息肉样变超声诊断与病理对比分析

摘要

目的 回顾分析胆囊息肉样变100例声像图特征，以提高超声诊断的准确性。方法 对100例经病理证实的胆囊息肉样变的超声诊断与病理进行对比。结果 100例患者在胆囊壁上均可见大小不等强回声或中等回声团,突入胆囊腔内，不伴声影，不随体位而移动：少数病灶直径较大，可见蒂较宽，形态和边界不规则.病灶单发22例(22.0％)，多发73例(73.0％)。2.病理诊断：100例胆囊息肉样病变患者胆囊切除后，病理结果显示：胆固醇性息肉90例(90.0％)，炎性息肉1例(1.0％)，单纯性腺瘤2例(2.0％)，胆囊癌2例(2.％)。79例合并弥漫性胆囊炎，84例合并胆结石。胆囊炎性息肉1例，声像图表现与胆固醇性息肉大致相同，多发于胆囊颈部和体部，偶尔可见少量点状血流信号，该病例合并胆囊炎和胆石症。胆囊腺肌瘤样增生5例，声像图表现为胆囊壁局限性增厚，局部增厚的胆囊壁向囊腔内突起，内壁凹凸不平，内腔狭窄，囊壁内扩张的罗阿窦呈小囊状的低回声或无回声，未见血流信号，5例病人都伴有胆结石。结论 超声影像图根据息肉数目、大小、形态、基底宽窄及血流情况，可初步判断其性质。为临床提供必要的诊断信息。

Abstract

Objective To retrospectively analyze the sonographic features of 100 cases of gallbladder polypoid changes in order to improve the accuracy of ultrasonic diagnosis.
Methods The ultrasound diagnosis and pathology of 100 cases of pathologically confirmed gallbladder polypoid were compared.
Results In all 100 patients, echoes of different sizes or medium echoes were seen on the gallbladder wall, protruding into the gallbladder cavity, without acoustic shadows, and did not move with the body position: a few lesions had larger diameters, wider pedicles, and different shapes and borders. Rule. There were 22 cases (22.0%) of single lesions and 73 cases (73.0%) of multiple lesions. 2. Pathological diagnosis: After cholecystectomy in 100 patients with gallbladder polypoid lesions, the pathological results showed: cholesterol polyps in 90 cases (90.0%), inflammatory polyps in 1 case (1.0%), simple adenoma in 2 cases (2.0%), Gallbladder cancer in 2 cases (2.%). There were 79 cases with diffuse cholecystitis and 84 cases with gallstones. There was 1 case of cholecystitis polyps. The sonographic manifestations were similar to those of cholesterol polyps. They were mostly located in the neck and body of the gallbladder. A small amount of punctate blood flow signals were occasionally seen. This case was complicated with cholecystitis and cholelithiasis. There were 5 cases of gallbladder adenomyomatous hyperplasia. The sonogram showed localized thickening of the gallbladder wall. The locally thickened gallbladder wall protruded into the cystic cavity. The inner wall was uneven and the cavity was narrow. Small cystic hypoechoic or anechoic, no blood flow signal, 5 patients were accompanied by gallstones.
Conclusion   Ultrasound images can preliminarily determine the nature of polyps according to the number, size, shape, basal width and blood flow. Provide the necessary diagnostic information for the clinic.