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目的评价胆囊息肉样病变应用CT的诊断价值。方法 56例胆囊息肉样病变患者的临床资料进行回顾性分析,全部患者术前均给予CT、彩超和病理诊断。结果 56例患者经手术病理诊断证实为良性者41例(73.2%),恶性者15例(26.8%),采用CT和彩超检查结果显示,CT共诊断出恶性14例(93.3%),彩超诊断出10例(66.7%),CT扫描显著优于彩超(P<0.05);针对良性息肉性病变的诊断结果显示,CT和彩超对41例良性患者的诊断率均与病理诊断结果相符;病理分型的诊断结果显示,CT诊断符合病理分型30例,符合率为73.2%,彩超诊断符合病理分型37例,符合率为90.2%。结论在对胆囊息肉样病变结果判断中,CT扫描和彩超都具有较高的准确率,但在良恶判断上,CT扫描显著优于彩超,而彩超对胆囊息肉样病变病理分型具有较高的诊断价值。
Objective To evaluate the diagnostic value of CT in the diagnosis of polypoid lesions of gallbladder. Methods The clinical data of 56 patients with polypoid lesions of gallbladder were analyzed retrospectively. All the patients were given CT, color Doppler ultrasound and pathological diagnosis before operation. Results Fifty-one patients (73.2%) were diagnosed as benign by operation and pathology, and 15 (26.8%) were malignant. Fifty-four patients (93.3%) were diagnosed malignant by CT and color Doppler ultrasonography 10 cases (66.7%) were diagnosed by CT scan, and CT scan was significantly better than that by color Doppler ultrasound (P <0.05). According to the diagnosis of benign polyposis, the diagnostic rates of CT and color Doppler ultrasound in 41 cases of benign patients were consistent with the pathological findings; According to the diagnostic results, 30 cases were diagnosed by pathology and the coincidence rate was 73.2%. 37 cases were diagnosed by color Doppler ultrasonography and the coincidence rate was 90.2%. Conclusion In the diagnosis of polypoid lesions of the gallbladder, CT scan and color Doppler ultrasound have a higher accuracy, but in the judgment of benign and malignant, CT scan was superior to color Doppler ultrasound, and color Doppler ultrasound pathological type of gallbladder polypoid lesions were higher The diagnostic value.