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超声探头联合应用提高胆囊底部腺肌症诊断价值的临床研究

Clinical Study on the Combined Application of Ultrasound Probes to Improve the Diagnostic Value of Adenomyosis at the Bottom of the Gallbladder.

作者信息

Ma Hong-Ying, Wu Tao, Yin Guo-Mei, Ma Ya-Hui, Wang Qing, Zhao Xiao-Yu, Lu Yi-Yan

机构信息

Department of Ultrasound, Aerospace Center Hospital, Beijing, 100049, People's Republic of China.

Department of Ultrasound, Yixian Hospital of Traditional Chinese Medicine, Baoding, 074200, People's Republic of China.

出版信息

J Multidiscip Healthc. 2025 Aug 7;18:4717-4723. doi: 10.2147/JMDH.S529531. eCollection 2025.

DOI:10.2147/JMDH.S529531
PMID:40791279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12338082/
Abstract

OBJECTIVE

This study aims to assess the diagnostic efficacy of using a combination of ultrasonic probes including convex array probe, linear array probe, and intracavitary probe, for the detection of adenomyosis at the gallbladder fundus.

METHODS

A total of 121 outpatients with suspected diagnosis of gallbladder adenomyosis were enrolled in this study. All patients underwent conventional ultrasound examination of gallbladder floor with convex array probe, linear array probe and intraluminal probe. The thickness, length and internal echo characteristics of the lesions were recorded in detail.

RESULTS

The mean size of adenomyosis at the gallbladder fundus was found to be 1.177 ± 0.775 cm across the 121 individuals studied. The convex array probe successfully detected adenomyosis in 87 cases, while 34 cases returned negative results. The combined probes identified adenomyosis in 102 cases, with 19 cases yielding negative results. Both types of probes were concordantly positive in 77 cases and concordantly negative in 9 cases ( = 0.018).

CONCLUSION

The combined use of different ultrasonic scanning probes-convex array probe, linear array probe, and intracavitary probe-significantly enhances the diagnostic accuracy for adenomyosis at the gallbladder fundus, demonstrating significant clinical utility.

摘要

目的

本研究旨在评估联合使用凸阵探头、线阵探头和腔内探头对胆囊底部子宫腺肌病的诊断效能。

方法

本研究共纳入121例疑似胆囊子宫腺肌病的门诊患者。所有患者均使用凸阵探头、线阵探头和腔内探头对胆囊底部进行常规超声检查。详细记录病变的厚度、长度及内部回声特征。

结果

在所研究的121例个体中,胆囊底部子宫腺肌病的平均大小为1.177±0.775cm。凸阵探头成功检测出87例子宫腺肌病,34例结果为阴性。联合探头检测出102例子宫腺肌病,19例结果为阴性。两种探头检测结果均为阳性的有77例,均为阴性的有9例(P = 0.018)。

结论

联合使用不同的超声扫描探头——凸阵探头、线阵探头和腔内探头——可显著提高胆囊底部子宫腺肌病的诊断准确性,具有显著的临床应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d6/12338082/bcbe4b271460/JMDH-18-4717-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d6/12338082/9d66306120cf/JMDH-18-4717-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d6/12338082/42aaf64cfb35/JMDH-18-4717-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d6/12338082/bcbe4b271460/JMDH-18-4717-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d6/12338082/9d66306120cf/JMDH-18-4717-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d6/12338082/42aaf64cfb35/JMDH-18-4717-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d6/12338082/bcbe4b271460/JMDH-18-4717-g0003.jpg

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