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超声造影和常规超声在诊断胆囊腺肌症中的应用价值

陈宇 罗孝勇 吴杭 陆薇

河北医学2017,Vol.23Issue(4):597-600,4.
河北医学2017,Vol.23Issue(4):597-600,4.DOI:10.3969/j.issn.1006-6233.2017.04.019

超声造影和常规超声在诊断胆囊腺肌症中的应用价值

The value of contrast-enhanced ultrasound and conventional ultrasound in the diagnosis of gallbladder adenomyomatosis

陈宇 1罗孝勇 1吴杭 1陆薇1

作者信息

  • 1. 四川省遂宁市中心医院超声科,四川遂宁629000
  • 折叠

摘要

Abstract

Objective:To investigate the clinical value of contrast-enhanced ultrasonography and conventional ultrasound in the diagnosis of gallbladder adenomyomatosis(GA).Methods:The clinical in 28 patients with gallbladder adenomyomatosis in our hospital from January 2012 to January 2015 were included,all were diagnosed by pathology,were treated by conventional ultrasound and contrast-enhanced ultrasound respectively,and compared the image characteristics of two kinds of examination,summed up the two kinds of diagnosis of adenomyomatosis of the accurate rate.Results:Conventional ultrasound examination showed that all patients with gallbladder adenomyomatosis showed gallbladder wall thickening(local) signs,the lesion boundaries:0.7mm * 0.4mm * 2.6mm * 1.3mm.The typical manifestation of the gallbladder wall was a flat thickening(local),scattered within the small echo,the individual with strong echo,the rear "comet tail" sign;according to the diagnostic accuracy rate was 67.9%(19/28).Contrast enhanced ultrasound showed that the arterial and venous phases showed inhomogeneous enhancement,and there was a small and no enhancement in the interior;The diagnostic accuracy rate was 96.4%(27/28).The accuracy of contrast-enhanced ultrasound was significantly higher than that of conventional ultrasound(X2=7.79,P<0.05).Conclusion:The use of conventional ultrasound and contrast-enhanced ultrasound in the diagnosis of gallbladder adenomyomatosis,the image has its own characteristics,which can effectively improve the accuracy of clinical diagnosis,and has the value of promotion.

关键词

胆囊腺肌症/超声造影/临床诊断

Key words

Gallbladder adenomyomatosis/Contrast enhanced ultrasound/Clinical diagnosis

引用本文复制引用

陈宇,罗孝勇,吴杭,陆薇..超声造影和常规超声在诊断胆囊腺肌症中的应用价值[J].河北医学,2017,23(4):597-600,4.

基金项目

四川省科技厅资助项目,(编号:2015013967) (编号:2015013967)

河北医学

OACSTPCD

1006-6233

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