CAJ | 학술논문

目的：通过测定超声下胆囊息肉样病变的 M 值协助临床诊断及制订治疗方案。方法选取2009年4月至2013年4月收治的胆囊息肉样病变患者280例，所有患者均行 B 超检查，观察并记录超声下息肉样病变部位、数目、大小、形态及胆囊壁厚度等指标，运用胆囊息肉 M 值进行测定并对所得数据及术后病理类型进行统计学分析。结果所有患者非肿瘤性息肉250例，肿瘤性息肉30例，M ＜0者212例均为良性病变，0≤ M ＜2．5者43例，恶性病变11例，良性病变32例；M ≥2．5者25例，恶性病变19例，良性病变6例。胆囊息肉样病变不同病理类型的发病率与 M 值评分呈正相关关系，M 值越高其发病率越高（r＝1．224，P＜0．01）。结论超声下 M 值测定对胆囊息肉样病变的诊断及治疗具有指导意义，有助于尽早识别胆囊癌及有恶变可能性的息肉，具有广阔的临床应用价值。
목적：통과측정초성하담낭식육양병변적 M 치협조림상진단급제정치료방안。방법선취2009년4월지2013년4월수치적담낭식육양병변환자280례，소유환자균행 B 초검사，관찰병기록초성하식육양병변부위、수목、대소、형태급담낭벽후도등지표，운용담낭식육 M 치진행측정병대소득수거급술후병리류형진행통계학분석。결과소유환자비종류성식육250례，종류성식육30례，M ＜0자212례균위량성병변，0≤ M ＜2．5자43례，악성병변11례，량성병변32례；M ≥2．5자25례，악성병변19례，량성병변6례。담낭식육양병변불동병리류형적발병솔여 M 치평분정정상관관계，M 치월고기발병솔월고（r＝1．224，P＜0．01）。결론초성하 M 치측정대담낭식육양병변적진단급치료구유지도의의，유조우진조식별담낭암급유악변가능성적식육，구유엄활적림상응용개치。
Objective To determine the M value of gallbladder polypoid lesion by ultrasound for assisting clin-ical diagnosis and formulating the therapy scheme .Methods 280 cases of gallbladder polypoid lesion in our hospital from April 2009 to April 2013 were selected and underwent B-type ultrasonography examination .The sites ,number , size ,shape and gallbladder wall thickness of gallbladder polypoid lesions were observed and recorded .The M value of gallbladder polypoid lesion was determined and the detected results and postoperative pathological types were per -formed the statistical analysis .Results Among all cases ,250 cases were non-neoplastic polyp and 30 cases were tu-morous polyp ;212 cases with M < 0 were benign lesions ;among 43 cases with 0 ≤ M < 2 .5 ,11 cases were malignant lesions and 32 cases were benign lesions ;among 25 cases with M ≥ 2 .5 ,19 cases were malignant lesions and 6 cases were benign lesions .The pathologic types of gallbladder polypoid lesions showed that its incidence rate was positively correlated with the M value score ,the higher the M value ,the higher the incidence rate(r = 1 .224 ,P< 0 .01) .Conclu-sion The M value determination by ultrasound has the guidance significance to the diagnosis and treatment of gall -bladder polypoid lesions and is conducive to identify gallbladder carcinoma and polyp with malignant change possibili -ty ,which has wide clinical application value .