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目的探讨健康体检中超声诊断胆囊息肉样病变(PLG)的应用价值。方法回顾性分析11816例健康体检者PLG的发生率及其超声声像图特征。结果在11816名健康体检者中,共发现PLG495例;男332例,发生率为4.6%;女163例,发生率为3.5%,男性发生率显著高于女性(P<0.05)。在本次体检人群中,以41～50岁年龄组PLG发生率最高,男性为7.8%,女性为6.3%。495例PLG的二维超声声像图特征如下:①59.2%(293/495)PLG有蒂或基底较窄;②80.4%病灶呈强回声或中等回声;③91.9%(455/495)病灶见于底、体部;单发PLG为182例,占36.8%,多发者313例(63.2%);④PLG体积大多数较小,平均(6.1±3.9)mm;⑤10.7%(53/495)PLG合并有胆囊结石。结论胆囊超声普查有利于早期发现PLG,为及时治疗提供依据。
Objective To investigate the value of ultrasound in diagnosing gallbladder polypoid lesion (PLG) during physical examination. Methods The incidence of PLG and ultrasonic ultrasonography were analyzed retrospectively in 11,816 healthy individuals. RESULTS Among the 11,816 healthy checkers, 495 cases of PLG were found; there were 332 males with an incidence rate of 4.6%; females with 163 cases had an incidence of 3.5%. The incidence of males was significantly higher than that of females (P<0.05). Among the physical examination population, the incidence of PLG in the 41-50 age group was the highest, with 7.8% of men and 6.3% of women. Two-dimensional ultrasound sonograms of 495 PLGs were characterized as follows: 159.2% (293/495) of the PLG had pedicles or a narrow base; 280.4% of the lesions showed strong or moderate echoes; 391.9% (455/495). The lesions were found in the base and the body; 182 cases (36.8%) were single PLG, and 313 (63.2%) were multiple; the volume of 4PLG was mostly small (6.1±3.9) mm; 510.7% (53/). 495) PLG is associated with gallstones. Conclusion The ultrasound gallbladder survey is helpful for the early detection of PLG, which provides a basis for prompt treatment.