CAJ | 학술논문

目的：通过测定超声下胆囊息肉样变的M值协助临床诊断及指导制定治疗方案。方法：选取我院自2009年4月~2013年4月收治的胆囊息肉样病患者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值<0者212例均为良性病变,0<M值<2.5者43例,恶性病变11例,良性病变32例；M值>2.5者25例,恶性病变19例,良性病变6例, PLG病理类型发现其发病率与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PLG的诊断及治疗具有指导意义,有助于尽早识别胆囊癌及恶变可能性的息肉,具有广阔临床应用价值。
목적：통과측정초성하담낭식육양변적M치협조림상진단급지도제정치료방안。방법：선취아원자2009년4월~2013년4월수치적담낭식육양병환자280례,소유환자균행B초검사,관찰병기록초성하식육양병변부위、수목、대소、형태급담낭벽후도등지표,운용담낭식육M치진행측정병대소득수거급술후병리류형진행통계학분석。결과：소유환자비종류성식육250례,종류성식육30례,M치<0자212례균위량성병변,0<M치<2.5자43례,악성병변11례,량성병변32례；M치>2.5자25례,악성병변19례,량성병변6례, PLG병리류형발현기발병솔여M치평분정정상관관계,M치월고기발병솔월고(r=1.224, P<0.01)。결론：초성하M치측정대PLG적진단급치료구유지도의의,유조우진조식별담낭암급악변가능성적식육,구유엄활림상응용개치。
Objective:Through the determination of ultrasound of gallbladder polypoid change M value for clinical diagnosis and guiding therapy.Methods:280 cases in our hospital from 2009 April to 2013 April were gallbladder polypoid disease patients,all patients underwent B-mode ultrasonography examination,observe and record the ultrasound polypoid lesions,the number,size,shape and thickness of gallbladder wall of gallbladder polyps,using M were measured and the statistical analysis of pathological types were obtained data and postoperative.Results:All patients with non-neoplastic polyps in 250 cases,30cases of tumor polyp,M<0 in 212 cases were benign lesions,0<M<2.5 cases,11cases of malignant lesions,32cases of benign lesions;M value>25 cases 2.5,19 cases of malignant lesions,6 cases of benign lesions,pathologic types of PLG show that the incidence rate of correlation between the scores were positively and M,M value is higher the higher incidence (r=1.224,P<0.01).Conclusion:Determination of the diagnosis and treatment of PLG is meaningful conclusions ultrasound M value,contribute to the early identification of gallbladder carcinoma and malignant potential of the polyp,and has wide clinical application value.