摘要
Ｂ超诊断为胆囊息肉样病变（简称胆囊息肉）１８５例，其中行手术切除者７１例。将Ｂ超与Ｘ线口服胆囊造影（简称胆囊造影）以及手术标本与病理进行比较，结果：Ｂ超检出率达１００％，胆囊造影仅１８．３％；手术中触及胆囊内有块物的仅２例，Ｂ超直径分别为１２及１６ｍｍ，病理检查皆呈腺瘤型改变，其余６９例较小或多发的息肉，手术中均未及肿块，病理检查均为胆固醇沉积，本组７１例皆未发现癌变征象，但直径＞１０ｍｍ的２例腺瘤型息肉则有不规则的腺上皮增生。作者认为：对息肉一般不须特殊处理。
One hundred and eighty five cases of polypoid lesion of gallbladder (poly of gallbladder) diagnosed by B mode ultrasound were analyzed. 71 patients received operation. By comparative study of polypoid lesions of gallbladder with ultrasonography, X ray, oral cholecystography, operation and pathology, the detection rate of B mode ultrasound was 100% and X ray oral cholecystography was 18.3% . In 2 cases, the diameters of the gall bladder mass were 12mm and 16mm respectively found by B mode ultrasound could be palpated during operation. The pathological examinations proved to be adenoma. In other 69 cases, the polyps of gallbladder were small or multiple and not palpable in operation, the pathological diagnoses were lesions of cholesterol deposition. No gallbladder cancer was found in all 71 cases. But in 2 cases of polypoid adenoma with diameter >10mm irregular hyperplasia of gland epithelium was found. It is suggested that in most of the patients suffered from polyp of gallbladder do not need specific treatment but follow up examinations should be done regularly by B mode ultrasound.
出处
《中华超声影像学杂志》
CSCD
1997年第2期52-54,共3页
Chinese Journal of Ultrasonography
关键词
胆囊息肉样病变
B超
胆囊造影
polypoid lesion of gallbladder\ \ ultrasonography\ \ X ray oral cholecystography
