| 摘要: |
| 目的：通过与常规超声技术对比,明确超声造影技术在评价胆囊息肉样病变形态特征的优势和临床价值。方法：收集我院2016年3月到2018年7月因囊息肉样病变行胆囊切除患者146例纳入研究。研究对象于胆囊切除术前分别进行胆囊常规超声及超声造影检查。根据手术病理结果,将胆囊息肉分为胆固醇性息肉组与腺瘤性息肉组。分析并记录胆囊息肉常规超声特征、患者年龄、性别、胆囊结石、息肉数量、息肉内血流、息肉最大径大小以及息肉基底部宽度并进行统计分析。两组间计量资料采用t检验,等级资料采用χ2检验。采用多因素回归分析明确鉴别胆囊腺瘤的独立风险因素。P <0.05认为差异有统计学意义。结果：经手术病理证实104例为胆固醇性息肉,42例为腺瘤性息肉。胆固醇组与腺瘤组间在年龄、性别、胆囊结石以及息肉数量方面无统计学差异(p>0.05),息肉内血流、息肉最大径在两组间有统计学差异(p<0.05)。两组间超声测量基底部宽度与超声造影测量基底部宽度均有统计学差异(p<0.05)。两组内超声测量基底部宽度与超声造影测量基底部宽度有统计学差异(p<0.05)。多因素回归分析证实息肉内血流、超声造影测量息肉基底部宽度是与腺瘤性息肉相关的独立风险因素(p<0.05)。 结论：超声造影技术能够更准确反应胆囊息肉形态特征,有助于鉴别胆固醇性息肉与腺瘤性息肉。 |
| 关键词: 胆囊息肉样病变 腺瘤 胆固醇息肉 超声造影 |
| DOI： |
| 投稿时间：2021-01-11修订日期：2021-04-08 |
| 基金项目: |
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| Advantages of contrast-enhanced ultrasound in evaluating morphology of gallbladder polyp lesion comparison to ultrasound |
| 费翔,luo yu kun,li nan,tang wen bo,li jie |
| () |
| Abstract: |
| by evaluating measurement difference in order to identify the advantages of contrast-enhanced ultrasound (CEUS) in assessing stalk width of gallbladder polyp lesion (GPL) compared to ultrasound (US). Methods: from January 2016 to September 2018, 146 patients with GPL who received cholecystectomy in our hospital were enrolled in this study. All patients had US and CEUS examination before surgery. According to pathological findings, GPL were divided into two groups of cholesterol polyp and adenoma. US features, patient’s age, gender, gallbladder stone, number of GPL, maximum size and stalk width were statistically analyzed between the two groups. Stalk width of cholesterol polyp and adenoma on US and CEUS were analyzed by multiple logistic regression analysis. P value<0.05 was considered statistically significant difference. Results: 104 patients were cholesterol polyp lesion and 42 patients were adenoma, which were proved by final pathological findings. There was no difference in patient’s age, gender, gallbladder stone and number of GPL between two groups (p>0.05), while vascularity and maximum size of GPL were statistically different between two groups (p<0.05). Stalk width on both US and CEUS were statistical differences between cholesterol polyp group and adenoma group (p<0.05). In two groups, stalk width on US was different with that on CEUS (p<0.05). Logistic regression analysis proved that only stalk width on CEUS and vascularity were independent factors related with gallbladder adenoma (p<0.05). Conclusion: CEUS was more suitable for measuring stalk width compared to US. Patients with GPL could get benefit from CEUS for selecting appropriate treatment. |
| Key words: gallbladder polyp lesion adenoma cholesterol polyp contrast-enhanced ultrasound |
