International Journal of Medicine and Data

Objective To retrospectively analyze the sonographic features of 100 cases of gallbladder polypoid changes in order to improve the accuracy of ultrasonic diagnosis. Methods The ultrasound diagnosis and pathology of 100 cases of pathologically confirmed gallbladder polypoid were compared. Results In all 100 patients, echoes of different sizes or medium echoes were seen on the gallbladder wall, protruding into the gallbladder cavity, without acoustic shadows, and did not move with the body position: a few lesions had larger diameters, wider pedicles, and different shapes and borders. Rule. There were 22 cases (22.0%) of single lesions and 73 cases (73.0%) of multiple lesions. 2. Pathological diagnosis: After cholecystectomy in 100 patients with gallbladder polypoid lesions, the pathological results showed: cholesterol polyps in 90 cases (90.0%), inflammatory polyps in 1 case (1.0%), simple adenoma in 2 cases (2.0%), Gallbladder cancer in 2 cases (2.%). There were 79 cases with diffuse cholecystitis and 84 cases with gallstones. There was 1 case of cholecystitis polyps. The sonographic manifestations were similar to those of cholesterol polyps. They were mostly located in the neck and body of the gallbladder. A small amount of punctate blood flow signals were occasionally seen. This case was complicated with cholecystitis and cholelithiasis. There were 5 cases of gallbladder adenomyomatous hyperplasia. The sonogram showed localized thickening of the gallbladder wall. The locally thickened gallbladder wall protruded into the cystic cavity. The inner wall was uneven and the cavity was narrow. Small cystic hypoechoic or anechoic, no blood flow signal, 5 patients were accompanied by gallstones. Conclusion Ultrasound images can preliminarily determine the nature of polyps according to the number, size, shape, basal width and blood flow. Provide the necessary diagnostic information for the clinic.

Gallbladder polypoid; Ultrasonography; Pathology analysis