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目的分析胆囊息肉样病变彩色多普勒超声(CDFI)的诊断价值。方法对经手术病理证实的胆囊息肉样病变80例声像图表现进行回顾性分析。结果术后病理非肿瘤性息肉病变直径多在7mm以内,胆固醇息肉占44%,炎性息肉占35%。而胆囊腺瘤常为单发,以胆囊底部多见,且大小一般8～13mm。胆囊腺肌增生症或腺肌瘤的胆囊壁可呈弥漫性或局部性改变,增厚的胆囊壁内可见小的圆形液性囊腔具有特征性。结论彩色多普勒超声对胆囊息肉样病变良恶性的鉴别准确,具有一定的临床价值。
Objective To analyze the diagnostic value of color doppler ultrasound (CDFI) in polypoid lesions of gallbladder. Methods 80 cases of polypoid lesions of gallbladder confirmed by surgery and pathology were retrospectively analyzed. Results Postoperative pathological non-neoplastic polyp lesions more than 7mm in diameter, 44% of polyps of cholesterol, inflammatory polyps 35%. The gallbladder adenoma is often single, common to the bottom of the gallbladder, and the size of the general 8 ~ 13mm. Gallbladder adenomyosis or adenomyosis of the gallbladder wall can be diffuse or local changes, thickening of the gallbladder wall can be seen within the small circular liquid cystic cavity is characteristic. Conclusion The color Doppler ultrasound in the diagnosis of gallbladder polypoid lesions of benign and malignant accurate identification, has some clinical value.