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目的:探讨胆囊息肉样病变的超声表现与病理改变的关系。方法:回顾性分析47例胆囊息肉样病变的实时超声表现和病理结果。结果:42例胆固醇性息肉中,36例表现为多发病灶,平均直径7.6mm,蒂窄。2例胆囊腺瘤表现为1例单发,1例多发,平均直径1.1mm,基底较宽。3例腺瘤恶变者声像图上均为单发,平均直径19mm,基底较宽。结论:B超对胆囊息肉样病变检出率高,根据息肉大小、数目、蒂宽窄等情况,在定性诊断上有一定参考价值。
Objective: To investigate the relationship between ultrasound findings and pathological changes in polypoid lesions of gallbladder. Methods: A retrospective analysis of 47 cases of polypoid lesions of gallbladder real-time ultrasound and pathological findings. Results: In 42 cases of cholesterol polyps, 36 cases showed multiple lesions, the average diameter of 7.6mm, pedicle narrow. Two cases of gallbladder adenoma showed a single case, one case multiple, with an average diameter of 1.1mm, a wide base. 3 cases of adenoma malignant sonography are single on the sonography, the average diameter of 19mm, a wide base. Conclusion: The detection rate of B-ultrasound on polypoid lesions of the gallbladder is high. According to the size, number and width of polyps, there is a certain reference value in the qualitative diagnosis.