【摘要】 目的  總結膽囊壁隆起樣病變超聲及病理特點，以提高此類疾病的鑒別診斷水平。 方法  回顧性分析2008-2009年222例經手術和病理證實的膽囊隆起樣病變患者的臨床資料，對其超聲特點及病理學結果進行分析。 結果  膽固醇沉積癥（包括附壁型37例和息肉型138例）175例（78.8%），炎性息肉（增生性息肉）3例（1.4%），腺瘤14例（6.3%），有7例腺瘤伴非典性增生，腺肌增生癥1例（0.5%），單純膽囊炎29例（13.1%）。 結論  超聲對膽囊隆起樣病變的診斷敏感性極高，能清晰顯示其大小、數目、回聲情況、病變形態和邊界情況及局部膽囊壁的變化，有無合并結石等，還可方便地行隨訪觀察，了解其動態變化，是簡便可靠的診斷方法。
【Abstract】 Objective  To Summarize the common sonographical and pathological characteristics of apophysis lesions of the gallbladder, so as to improve the level of diagnosis and differential diagnosis. Methods  Sonographical appearance and pathological characteristics of 222 patients from 2008 to 2009 with apophysis lesions of the gallbladder which were confirmed by pathologic diagnosis and operation were reviewed retrospectively. Results  One hundred and seventy-five (78.8%) of the patients had gallbladder cholesterol lipoidosis and 138 (62.2%) of them had gallbladder cholesterol polyps;3 patients (1.4%) had gallbladder inflammatory polyp;14 patients (6.3%) had gallbladder adenomatoid polyps and 7 of them were accompanied with dyplasis and atypical hyperplasia; 1 (0.5%) patients (0.5%) had cholecystic adenomyosis. Tenty-nine patients (13.1%) had cholecystitis only. Conclusion  Ultrasonography is quilt sensitive to this disease and can disply the size, number, echo, shape of the lesions and can show that if complicate with cholecystolithiasis.Ultrasonography is also accomplished in follow-up and can be one of the most dependable examination methods.

Citation： WU Yanyan,PENG Yulan. Sonographical Characteristics and Pathological Analysis of Apophysis Lesions of the Gallbladder. West China Medical Journal, 2010, 25(8): 1473-1475. doi: Copy

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