【摘要】：目的:總結(jié)膽囊隆起性病變(polypoid lesions of gallbladder,PLG)各病理類型的彩超特點,分析PLG彩超特點、臨床特征與病理學分型之間的關系,明確PLG腫瘤性與非腫瘤性在年齡、性別、大小、病變數(shù)目、彩超回聲強弱、有無癥狀、有無血流信號、是否合并膽囊結(jié)石等因素中有意義的診斷指標,進一步探討PLG膽囊切除的手術(shù)指征,減少非腫瘤性息肉的膽囊切除。方法:收集山西醫(yī)科大學第一醫(yī)院2010年1月到2016年5月間93例行手術(shù)治療的PLG患者的臨床與病理資料,回顧性分析其彩超特點、臨床特征和病理學特點。結(jié)果:非腫瘤性息肉81例(87.10%),慢性膽囊炎伴膽固醇息肉形成(或慢性膽囊炎合并膽固醇沉著癥)者53例(56.99%),腫瘤性息肉12例(12.90%);腫瘤性息肉組與非腫瘤性息肉組在年齡、直徑、彩超回聲強弱、有無血流信號方面比較均有統(tǒng)計學意義(P0.05)。結(jié)論:息肉直徑1.0cm、年齡55歲、彩超回報低回聲或不均回聲、有血流信號是膽囊隆起性病變的危險因素,應當作為手術(shù)切除的指征。膽囊隆起性病變的發(fā)生與腺瘤性大腸息肉的發(fā)生存在一定的相關性;膽囊切除術(shù)亦應在大腸腺瘤性息肉患者切除大腸息肉后腹部彩超提示膽囊隆起性病變時進行,以除外腺瘤性息肉在膽囊發(fā)生。
[Abstract]:Objective: to summarize the characteristics of color Doppler ultrasound (CDU) of various pathological types of gallbladder protruding lesions (polypoid lesions of gallbladder,PLG), analyze the relationship between PLG color Doppler ultrasound characteristics, clinical features and pathological classification, and determine the significant diagnostic indexes of age, sex, size, number of lesions, echo intensity, symptom, blood flow signal, whether or not complicated with gallstones and other factors, such as age, sex, size, number of lesions, echo intensity, symptoms, blood flow signal or not. To further explore the indication of PLG gallbladder resection and reduce the gallbladder resection of non-neoplastic polyps. Methods: the clinical and pathological data of 93 patients with PLG treated surgically from January 2010 to May 2016 in the first Hospital of Shanxi Medical University were collected and their color Doppler ultrasound features, clinical features and pathological features were analyzed retrospectively. Results: 81 cases (87.10%) of non-neoplastic polyps, 53 cases (56.99%) of chronic cholecystitis complicated with cholesterol polyposis and 12 cases (12.90%) of neoplastic polyps were statistically significant in age, diameter, color Doppler echo intensity and blood flow signal between tumor polyp group and non-tumor polyp group (P 0.05), and there were significant differences in age, diameter, color Doppler echo intensity and blood flow signal between tumor polyp group and non-tumor polyp group (P < 0.05), and there were significant differences in age, diameter, color Doppler echo intensity and blood flow signal between tumor polyp group and non-tumor polyp group (P 0.05). Conclusion: polyp is 1.0 cm in diameter and 55 years old. color Doppler ultrasound returns hypoechoic or uneven echo. Blood flow signal is a risk factor for gallbladder protrusive lesions and should be used as an indication of surgical resection. There is a certain correlation between the occurrence of protruding lesions of gallbladder and the occurrence of adenomatous colorectal polyps. Cholecystectomy should also be performed in patients with colorectal adenomatous polyps after resection of colorectal polyps.
【學位授予單位】：山西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R657.4

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