目的　 探討經腹部彩色多普勒超聲（腹部超聲）聯合高頻超聲診斷良性膽囊息肉樣病變的價值。 方法　 回顧性分析2008年1月－2011年11月121例腹部超聲聯合高頻超聲檢查提示為良性膽囊息肉樣病變、且有手術病理檢查結果的患者資料進行對照，以此評價經腹部超聲聯合高頻超聲對良性膽囊息肉樣病變的診斷準確性。 結果　 121例術前經腹部超聲聯合高頻超聲診斷為良性膽囊息肉樣病變的患者，手術后病理檢查結果示膽固醇息肉62例（51.24%），炎性息肉27例（22.31%），腺瘤6例（4.96%），腺癌3例（2.48%），膽囊結石14例（11.57%），腺肌癥3例（2.48%），囊壁腺體結構紊亂3例（2.48%），黏膜下層軟結節3例（2.48%）。經腹部超聲聯合高頻超聲與手術后病理對比檢查，其診斷符合率為78.51%（95/121），誤診率為21.49%（26/121）。 結論　 經腹部超聲聯合高頻超聲檢查對良性膽囊息肉樣病變診斷準確性較高，可為臨床預防膽囊癌前病變提供依據。
Objective　 To investigate the value of abdominal color Doppler ultrasonography (CDU) combined with high-frequency ultrasonography (HFU) diagnosing benign polypoid lesion of gallbladder (B-PLG). Methods　 A total of 121 patients with B-PLG diagnosed by CDU combined with HFU between January 2008 and November 2011 were randomly selected. All of the patients underwent the surgery and had the record of surgical pathological examination results, which were compared with the results of the ultrasonography in order to evaluate the diagnostic accuracy of CDU combined with HFU for B-PLG. Results　 In 121 patients with B-PLG diagnosed by CDU combined with HFU before the surgery, cholesterol polyp was found in 62 (51.24%), infective polyp was found in 27 (22.31%), adenoma was found in 6 (4.96%), adenocarcinoma was found in 3 (2.48%), gallstones was found in 14 (11.57%), adenomyosis was found in 3 (2.48%), the wall structure gland disorder was found in 3 (2.48%), and submucosal soft nodules was found in 3 (2.48%) after the surgical pathological examination. Coincidence rate between CDU combined with HFU diagnosis and surgical pathological diagnosiswas 78.51% (95/121), and the misdiagnosis rate of CDU combined with HFU was 21.49% (26/121). Conclusion　 The accuracy of CDU combined with HFU diagnosing B-PLG is high, which can help to prevent precancerous lesion of gallbladder cancer.

引用本文： 李楠. 經腹部彩色多普勒超聲聯合高頻超聲診斷良性膽囊息肉樣病變的價值. 華西醫學, 2012, 27(1): 54-57. doi: CNKI: 51-1356/R.20120115.1546.012 復制