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目的探讨胆囊隆起性病变的临床及B型超声表现特点。方法将83例胆囊隆起性病变分为3组:A组,胆固醇息肉组(60例);B组,良性非胆固醇性息肉组(12例);C组,胆囊癌组(11例),分别作回顾性分析。结果临床表现分为4型:无明显症状17例,占20.48%(17/83),胆囊炎型41例,占49.39%(41/83),胆结石型16例,占19.27%(16/83),肿瘤型9例,占10.84%(9/83);声像图基本图象是胆囊内附壁光团后无声影,其中良性病变72例,直径均<1.2cm,平均0.82cm,形态规则,恶性病变11例,病灶直径>1.5cm,平均1.8cm,形态不规则。结论通过临床及B型超声综合分析,可以帮助鉴别病变性质,对手术方式的选择有较高的指导意义。
Objective To investigate the clinical features and B-mode ultrasound features of gallbladder bumps. Methods Eighty-three cases of gallbladder bumps were divided into three groups: group A, cholesterol polyp group (60 cases), group B, benign non-cholesterol polyp group (group C), gallbladder cancer group (11 cases) For retrospective analysis. Results The clinical manifestations were classified into 4 types: 17 cases without obvious symptoms, accounting for 20.48% (17/83), 41 cases (49.39%) with cholecystitis, 16 cases (19.27%) with gallstones 83), tumor type in 9 cases, accounting for 10.84% (9/83). The sonographic image of the gallbladder was non-acoustic shadow in the gallbladder. 72 benign lesions, diameter <1.2cm, average 0.82cm, Morphological rules, 11 cases of malignant lesions, lesions diameter> 1.5cm, an average of 1.8cm, irregular shape. Conclusion Clinical and B-mode ultrasonic comprehensive analysis can help identify the nature of the lesion, the choice of surgical approach has a higher guiding significance.