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目的:对原发性胆囊癌超声漏误诊原因分析,提高超声诊断原发性胆囊癌的准确率。方法:对经手术及病理证实而术前超声漏误诊的原发性胆囊癌13例进行回顾性分析。结果:术前超声漏误诊的13例原发性胆囊癌中,3例漏诊,10例误诊(胆囊腺瘤3例,肝内占位病变3例,慢性胆囊炎2例,胆囊息肉1例,胰头癌1例)。结论:超声医生仔细观察胆囊的形态、边界、内部情况,胆囊壁的厚度、连续性、回声特点以及有无转移,对声像图表现进行综合分析,并合理运用彩色多普勒超声,可提高原发性胆囊癌超声诊断准确率。
Objective: To analyze the cause of misdiagnosis of primary gallbladder carcinoma and improve the accuracy of ultrasonic diagnosis of primary gallbladder carcinoma. Methods: Thirteen cases of primary gallbladder carcinoma misdiagnosed by preoperative ultrasound as confirmed by operation and pathology were retrospectively analyzed. Results: Among 13 cases of primary gallbladder carcinoma misdiagnosed by preoperative ultrasonography, 3 missed diagnosis and 10 were misdiagnosed (3 cases of gallbladder adenoma, 3 cases of intrahepatic space occupying lesion, 2 cases of chronic cholecystitis, 1 case of gallbladder polyp, 1 case of pancreatic head cancer). Conclusion: Ultrasound doctors carefully observe the morphology, border, internal conditions, the thickness of the gallbladder wall, continuity, echo characteristics and whether the transfer, the sonographic performance of a comprehensive analysis, and the rational use of color Doppler ultrasound can be increased Diagnostic accuracy of ultrasonic diagnosis of primary gallbladder cancer.