CAJ | 학술논문

目的：讨论在良性胆囊息肉样病变中,高频超声与腹部彩色多普勒超声联合诊断法的应用价值。方法整群选取2013年9月—2014年7月间在该院住院治疗的良性胆囊息肉病变患者共90例,对其分别行高频超声联合腹部超声检查与手术病理检查,对比检查结果,总结分析腹部超声联合高频超声对此病诊断准确性。结果术前行腹部超声联合高频超声检查诊断的90例良性胆囊息肉患者,经过术后病理检查证实,其中有54例患者为胆固醇息肉、19例为炎性息肉、8例为胆囊结石、3例为腺瘤及囊壁纤体结构紊乱、腺肌症、粘膜下层软结节患者各2例。将两种检查法进行对比分析,发现腹部超声联合高频超声法误诊5例、确诊85例,准确率为94.4%,与传统手术病理检查方法比较(χ2=5.143,P=0.059),差异无统计学意义(P>0.05)。结论腹部超声联合高频超声法在良性胆囊息肉的诊断中,诊断率高,可信度强,可作为临床诊断该疾病的常用手段。
목적：토론재량성담낭식육양병변중,고빈초성여복부채색다보륵초성연합진단법적응용개치。방법정군선취2013년9월—2014년7월간재해원주원치료적량성담낭식육병변환자공90례,대기분별행고빈초성연합복부초성검사여수술병리검사,대비검사결과,총결분석복부초성연합고빈초성대차병진단준학성。결과술전행복부초성연합고빈초성검사진단적90례량성담낭식육환자,경과술후병리검사증실,기중유54례환자위담고순식육、19례위염성식육、8례위담낭결석、3례위선류급낭벽섬체결구문란、선기증、점막하층연결절환자각2례。장량충검사법진행대비분석,발현복부초성연합고빈초성법오진5례、학진85례,준학솔위94.4%,여전통수술병리검사방법비교(χ2=5.143,P=0.059),차이무통계학의의(P>0.05)。결론복부초성연합고빈초성법재량성담낭식육적진단중,진단솔고,가신도강,가작위림상진단해질병적상용수단。
Objective To discuss the value of high-frequency ultrasound and color Doppler ultrasound combined diagnosis of ab-dominal law. Methods Patients of 90 cases with benign lesions of the gallbladder polyp from September 2013 to July 2014 among hospitalized were performed, its high frequency ultrasound combined with abdominal ultrasound and surgical pathology, compared to test results, analyzed abdominal ultrasound combined with high frequency ultrasound diagnostic accuracy of this disease. Re-sults The comparative analysis of two test method, high-frequency ultrasonic abdominal ultrasound found 5 cases of misdiagnosis union, confirmed 85 cases (χ2=5.143,P=0.059),the accuracy was 94.4%. Conclusion Abdominal ultrasound combined high-fre-quency ultrasound method in the diagnosis of benign polyps of the gallbladder.