[1]孟庆成,张同琳,傅贤波.超声诊断胆囊息肉样病变与病理对照的研究[J].中国微创外科杂志,2008,08(1):39-41.
　Meng Qingcheng,Zhang Tonglin,Fu Xianbo..Comparative Study on the Results of Ultrasonography and Pathological examination for Polyplike Cystic Lesions[J].Chinese Journal of Minimally Invasive Surgery,2008,08(1):39-41.
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超声诊断胆囊息肉样病变与病理对照的研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年1期
页码:
39-41
栏目:
出版日期:
2008-10-22

文章信息/Info

Title:
Comparative Study on the Results of Ultrasonography and Pathological examination for Polyplike Cystic Lesions
作者:
孟庆成; 张同琳; 傅贤波
北京大学第三医院普通外科，北京100083
Author(s):
Meng Qingcheng;  Zhang Tonglin;  Fu Xianbo.
Department of General Surgery, Peking University Third Hospital, Beijing 100083, China
关键词:
胆囊息肉样病变; 超声诊断; 病理检查
Keywords:
Polyplike cystic lesion; Ultrasonographic diagnosis; Pathological examination
分类号:
R657.4
文献标志码:
A
摘要:
目的探讨超声诊断的胆囊息肉样病变（polypoid lesions of the gallbladder,PLG）中各种疾病所占比例及其相应的声像学特点，超声诊断胆固醇性息肉的可靠性。方法对556例超声诊断的PLG的病理结果进行分类，并分析不同大小的胆固醇性息肉超声检查的病理符合率。结果556例超声诊断的PLG中，胆固醇性息肉446例（80.2%），腺瘤性息肉86例（15.5%），炎性息肉18例（3.2%），腺肌症6例（1.1%）。97.3%的胆固醇性息肉长径<1.0 cm，且64.6%病例的息肉为多发。超声拟诊胆固醇性息肉的病理符合率可达91.3%。腺瘤性息肉中，长径超过1.0 cm者占61.6%，且34.0%有不典型增生或恶变；但也有25%的恶变发生在1.0 cm以下的腺瘤中。结论PLG中80%以上为胆固醇性息肉；15.5%为腺瘤性息肉，发生恶变者多≥1.0 cm，0.7~0.9 cm的腺瘤性息肉也有恶变的可能。超声根据声像学特征作出的胆固醇息肉拟诊的病理符合率可达91.3%，因此是可信的。
Abstract:
ObjectiveTo study the proportion and sonographic features of various kinds of diseases in the polypoid lesions of the gallbladder (PLG) diagnosed by ultrasonography, and to explore the reliability of ultrasonography for the diagnosis of PLG.Methods A total of 556 cases of PLG diagnosed by ultrasonography were classified basing on the results of pathological examination. And the accordance rate between ultrasonography and pathological examination in the PLG with different size was analyzed.Results Among the 556 cases of PLG, 446 (80.2%) had cholesterol polyps, 86 (15.5%) adenomatous polyps, 18 (3.2%) inflammatory polyps, and 6 (1.1%) myoadenoma. In 97.3% of the cholesterol polyps, the diameter was less than 1.0 cm, and 64.6% of the cases had multiple polyps. In the cholesterol polyps, the accordance rate between ultrasonography and pathological examination was 91.3%. Of the adenomatous polyps, 61.6% had a diameter over 1.0 cm, and 34.0% showed atypical hyperplasia or malignancy. However, 25% of the malignancies were found in the adenomatous polyps with a diameter less than 1.0 cm.ConclusionsMore than 80% of PLG are cholesterol polyps and 15.5% are adenomatous polyps. Most of the PLG with malignant transformation sized over 10 cm in diameter. However, the adenomatous polyps with a diameter ranged from 0.7 to 0.9 cm also have malignant tendency. In the cholesterol polyps, the accordance rate between ultrasonography and pathological examination is 91.3%, showing that ultrasonography is reliable for the diagnosis of the disease.

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备注/Memo

备注/Memo:
张同琳通讯作者
更新日期/Last Update: 2013-10-22