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目的:分析483例胆囊结石的超声表现,探讨超声检查胆囊结石的临床应用价值。方法:选取我院超声诊断为胆囊结石的483例患者中在我院行胆囊切除手术治疗的60例患者,将其术后病理诊断与超声诊断结果相对比,分析超声诊断的准确性。结果:2014年1月—2014年10月,我院超声科共检查上腹部B超3 365例,超声诊断为胆囊结石483例,超声检出率为14.35%。483例胆囊结石患者中60例在我院行胆囊切除手术治疗,标本送病理检查,病理检查结果 58例为胆囊结石、胆囊内黏膜呈慢性炎症改变,2例为胆囊结石、胆囊内黏膜腺体伴有腺瘤样增生。超声诊断的58例与术后病理诊断相符合,诊断准确率为96.67%。结论:超声波对胆囊结石敏感,无论胆囊结石是胆固醇结石、胆色素结石,还是混合性结石,它都容易显影,检出率和准确率都高。
Objective: To analyze the ultrasonographic features of 483 gallbladder stones and investigate the clinical value of ultrasonography in the diagnosis of gallstone. Methods: A total of 483 patients undergoing cholecystectomy in our hospital from 483 patients diagnosed as cholecystolithiasis were compared with the results of pathological diagnosis and ultrasonic diagnosis, and the accuracy of ultrasonic diagnosis was analyzed. Results: From January 2014 to October 2014, 3 365 cases of B-ultrasound in the upper abdomen and 483 cases of gallstone were diagnosed by ultrasound in our hospital. The detection rate of ultrasound was 14.35%. Among the 483 patients with gallstones, 60 were treated by cholecystectomy in our hospital. The specimens were sent for pathological examination. The pathological results were 58 cases of gallstones, chronic inflammation of gallbladder mucosa, 2 cases of gallstones, Accompanied by adenomatous hyperplasia. Ultrasound diagnosis of 58 cases and pathological diagnosis consistent with the diagnostic accuracy was 96.67%. Conclusion: Ultrasound is sensitive to gallstones. It is easy to develop regardless of gallstone, gallstone, or mixed stones. The detection rate and accuracy are both high.