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目的探讨易合并胆囊癌的高危胆囊结石声像图特征,为胆囊结石患者选择预防性胆囊切除提供影像学依据。方法分析37例胆囊癌合并胆囊结石术前超声检查的声像图特点。结果26例(71%)同时合并慢性胆囊炎。29例(78%)为单发结石且结石大小超过1 cm。扫查时27例(73%)结石不移动。胆固醇性和混合性结石共33例(89%)。结论单发、体积较大且移动性差的胆固醇性或混合性结石更倾向于合并胆囊癌,当超声检查发现上述特点,尤其是同时存在慢性胆囊炎时,提示有较强的预防性胆囊切除指征。
Objective To explore the features of high-risk cholecystolithiasis in cholecystolithiasis and provide imaging evidence for cholecystectomy in cholecystolithiasis. Methods 37 cases of gallbladder carcinoma combined with cholecystolithiasis ultrasonography before ultrasound features. Results Twenty-six patients (71%) also had chronic cholecystitis. Twenty-nine patients (78%) had solitary stones and the stone size exceeded 1 cm. 27 cases (73%) did not move the stones during scanning. Cholesterol and mixed stones in 33 cases (89%). Conclusions Single, bulky, and poorly moving cholesterol or mixed stones are more likely to be associated with gallbladder cancer. When ultrasonography is found to have these characteristics, especially if concurrent chronic cholecystitis is present, a strong prophylactic cholecystectomy is indicated Levy