CAJ | 학술논문

目的：评价超声对原发性胆囊癌的诊断价值及漏误诊原因分析。方法选择胆囊占位病变98例，对其术前超声声像图表现进行分析，并与病理结果对照，重点分析超声诊断胆囊癌漏、误诊原因。结果经手术病理证实胆囊癌70例，超声诊断胆囊癌与病理结果对照符合率为75．7％（53/70）；漏诊15例，漏诊率为21．4％（15/70），其中结节型5例（33．3％），厚壁型9例（60．0％），混合型1例（6．7％）；误诊2例，误诊率为2．9％（2/70），皆为实块型。结论超声诊断胆囊癌有较高的准确率，超声诊断胆囊癌的主要易漏诊类型为结节型和厚壁型，易误诊类型为实块型。
목적：평개초성대원발성담낭암적진단개치급루오진원인분석。방법선택담낭점위병변98례，대기술전초성성상도표현진행분석，병여병리결과대조，중점분석초성진단담낭암루、오진원인。결과경수술병리증실담낭암70례，초성진단담낭암여병리결과대조부합솔위75．7％（53/70）；루진15례，루진솔위21．4％（15/70），기중결절형5례（33．3％），후벽형9례（60．0％），혼합형1례（6．7％）；오진2례，오진솔위2．9％（2/70），개위실괴형。결론초성진단담낭암유교고적준학솔，초성진단담낭암적주요역루진류형위결절형화후벽형，역오진류형위실괴형。
Objective To evaluate the value of ultrasonic diagnosis of the primary gallbladder carcinoma and analyze the causes of missed diagnosis and misdiagnosis.Methods 98 cases with gallbladder occupying le-sions were collected to carry out a retrospective study and make a contrast of pathology results on the pre-operative sonogram and the causes of missed diagnosis and misdiagnosis were mainly analyzed.Results 70 cases of gallbladder carcinoma was confirmed by operation and pathology,accuracy:75.7%(53/70);15 cases of missed diagnosis:21.4% (15/70),and among them,5 cases of nodular type (33.3%),9 cases of thick-wall type (60.0%),1 cases of mixed type(6.7%);2 cases of misdiagnosis:2.9%(2/70),both solid biock.Conclusion The ultrasound diagnosis of gallbladder carcinoma had a higher accuracy.The main types of easily-missed diagnosis in ultrasound diagnosis gallbladder carcinoma were nodular type and thick-wall type,and the easily-misdiagnosed type is solid biock.