【摘 要】
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目的提高胆囊癌诊断的准确性,减少误诊。方法对2001-2010年病理证实为胆囊癌的而超声误诊的21例病例做回顾性分析。结果误诊为胆囊结石6例,胆结石合并穿孔11例,慢性萎缩性胆
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目的提高胆囊癌诊断的准确性,减少误诊。方法对2001-2010年病理证实为胆囊癌的而超声误诊的21例病例做回顾性分析。结果误诊为胆囊结石6例,胆结石合并穿孔11例,慢性萎缩性胆囊炎合并胆结石4例。结论超声诊断胆囊炎、胆结石敏感性好,特异性好,但诊断胆囊癌需有一定的超声经验结合临床,降低误诊率。
Objective To improve the accuracy of diagnosis of gallbladder cancer and reduce misdiagnosis. Methods 21 cases of pathologically confirmed gallbladder cancer and misdiagnosis of ultrasound were retrospectively analyzed. The results were misdiagnosed as gallbladder stones in 6 cases, gallstone with perforation in 11 cases, chronic atrophic cholecystitis with gallstones in 4 cases. Conclusion Ultrasound diagnosis of cholecystitis, gallstone sensitivity, good specificity, but the diagnosis of gallbladder cancer need to have some experience with ultrasound clinical and reduce the rate of misdiagnosis.
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