检验医学与临床Issue(2):163-164,2.DOI:10.3969/j.issn.1672-9455.2014.02.008
M值测定对胆囊息肉样病变的诊断及手术指征评估
M value determination for diagnosing gallbladder polypoid lesion and evaluating operation indications
摘要
Abstract
Objective To determine the M value of gallbladder polypoid lesion by ultrasound for assisting clin-ical diagnosis and formulating the therapy scheme .Methods 280 cases of gallbladder polypoid lesion in our hospital from April 2009 to April 2013 were selected and underwent B-type ultrasonography examination .The sites ,number , size ,shape and gallbladder wall thickness of gallbladder polypoid lesions were observed and recorded .The M value of gallbladder polypoid lesion was determined and the detected results and postoperative pathological types were per -formed the statistical analysis .Results Among all cases ,250 cases were non-neoplastic polyp and 30 cases were tu-morous polyp ;212 cases with M < 0 were benign lesions ;among 43 cases with 0 ≤ M < 2 .5 ,11 cases were malignant lesions and 32 cases were benign lesions ;among 25 cases with M ≥ 2 .5 ,19 cases were malignant lesions and 6 cases were benign lesions .The pathologic types of gallbladder polypoid lesions showed that its incidence rate was positively correlated with the M value score ,the higher the M value ,the higher the incidence rate(r = 1 .224 ,P< 0 .01) .Conclu-sion The M value determination by ultrasound has the guidance significance to the diagnosis and treatment of gall -bladder polypoid lesions and is conducive to identify gallbladder carcinoma and polyp with malignant change possibili -ty ,which has wide clinical application value .关键词
胆囊息肉样病变/M值/超声/手术指征Key words
gallbladder polypoid lesions/M value/ultrasound/operation indication引用本文复制引用
秦瑞峰,张振翼,袁增江,孙广新,侯钰,霍浩然..M值测定对胆囊息肉样病变的诊断及手术指征评估[J].检验医学与临床,2014,(2):163-164,2.基金项目
河北省邯郸市科学技术研究与发展计划项目(1223108140)。 ()