【摘要】 目的  总结胆囊壁隆起样病变超声及病理特点，以提高此类疾病的鉴别诊断水平。 方法  回顾性分析2008-2009年222例经手术和病理证实的胆囊隆起样病变患者的临床资料，对其超声特点及病理学结果进行分析。 结果  胆固醇沉积症（包括附壁型37例和息肉型138例）175例（78.8%），炎性息肉（增生性息肉）3例（1.4%），腺瘤14例（6.3%），有7例腺瘤伴非典性增生，腺肌增生症1例（0.5%），单纯胆囊炎29例（13.1%）。 结论  超声对胆囊隆起样病变的诊断敏感性极高，能清晰显示其大小、数目、回声情况、病变形态和边界情况及局部胆囊壁的变化，有无合并结石等，还可方便地行随访观察，了解其动态变化，是简便可靠的诊断方法。
【Abstract】 Objective  To Summarize the common sonographical and pathological characteristics of apophysis lesions of the gallbladder, so as to improve the level of diagnosis and differential diagnosis. Methods  Sonographical appearance and pathological characteristics of 222 patients from 2008 to 2009 with apophysis lesions of the gallbladder which were confirmed by pathologic diagnosis and operation were reviewed retrospectively. Results  One hundred and seventy-five (78.8%) of the patients had gallbladder cholesterol lipoidosis and 138 (62.2%) of them had gallbladder cholesterol polyps;3 patients (1.4%) had gallbladder inflammatory polyp;14 patients (6.3%) had gallbladder adenomatoid polyps and 7 of them were accompanied with dyplasis and atypical hyperplasia; 1 (0.5%) patients (0.5%) had cholecystic adenomyosis. Tenty-nine patients (13.1%) had cholecystitis only. Conclusion  Ultrasonography is quilt sensitive to this disease and can disply the size, number, echo, shape of the lesions and can show that if complicate with cholecystolithiasis.Ultrasonography is also accomplished in follow-up and can be one of the most dependable examination methods.

Citation： WU Yanyan,PENG Yulan. Sonographical Characteristics and Pathological Analysis of Apophysis Lesions of the Gallbladder. West China Medical Journal, 2010, 25(8): 1473-1475. doi: Copy