CAJ | 학술논문

目的：评价彩色多普勒超声对胆囊腺瘤与胆囊癌的鉴别诊断价值。方法选取我院2013年1月到2015年5月间经病理确认的胆囊腺瘤与胆囊癌患者91例，根据其病理检查结果分为炎症组及非炎症组，并整理其超声检查结果，比较胆囊腺瘤及胆囊癌各指标的差别。结果64例胆囊腺瘤与27例胆囊癌比较，两者均以中低回声信号为主，但胆囊癌体积、最大血流速度、阻力系数均大于胆囊腺瘤，且血流更丰富，其差别有统计学意义。超声对血流的观测并不受肿瘤周围炎症反应的影响。结论彩色多普勒超声对胆囊腺瘤及胆囊癌的鉴别安全有效，经济方便，具有较高的鉴别诊断价值。
목적：평개채색다보륵초성대담낭선류여담낭암적감별진단개치。방법선취아원2013년1월도2015년5월간경병리학인적담낭선류여담낭암환자91례，근거기병리검사결과분위염증조급비염증조，병정리기초성검사결과，비교담낭선류급담낭암각지표적차별。결과64례담낭선류여27례담낭암비교，량자균이중저회성신호위주，단담낭암체적、최대혈류속도、조력계수균대우담낭선류，차혈류경봉부，기차별유통계학의의。초성대혈류적관측병불수종류주위염증반응적영향。결론채색다보륵초성대담낭선류급담낭암적감별안전유효，경제방편，구유교고적감별진단개치。
Objective To evaluate the value of color doppler flow imaging(CDFI) in the differential di-agnosis of gallbladder adenoma and gallbladder carcinoma. Methods 91 patients were selected from January 2013 to May 2015, who were diagnosed of gallbladder adenoma or gallbladder carcinoma through pathological examination. They were divided into two groups--inflammation group and non-inflammation group according to the result of pathologic examination. Vmax and RI et al were measured in two groups. Results The semi-quantity of CDFI, Vmax and RI in the gallbladder carcinoma was significantly higher than in the gallbladder adenoma. And the inflammatory reaction of the lesion had no effect on the result. Conclusion Colour Doppler ultrasonograohy had high value in the differential diagnosis of gallbladder adenoma and gallbladder carcinoma.