Clinical analysis of prediction to polypoid lesions of gallbladder
- VernacularTitle:胆囊息肉样病变的临床预测分析
- Author:
Qifeng LU
;
Shengli LIU
- Publication Type:Journal Article
- Keywords:
Gallbladder;
Polyps;
Diagnosis;
Logistic models
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(29):4-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the factor that related to neoplasm from the clinicopathologic character of gallbladder polyps, and identify the reciprocal effectiveness of these factors. Method Three hundred and forty-seven patients who were underwent operation with gallbladder polypoid lesions were reviewed. Results Logistic regression analysis showed, only 5 parameters were significant for the prediction of neoplastic lesions, including age of the patient (P =0.015), the number of polyps (P=0.018), the maximal diameter (P=0.000), echo property (P=0.000), as well as the position of polyps (P=0.030),of which the maximal diameter was the best one to predict the neoplasm polyps. Further analysis with HOC curve showed that 0.925 cm, the diameter of polyps, was the critical point to calculate the polyp was neoplasm or not. Conclusions Age of the patient , the number of polyps , the maximaldiameter, the position of polyps, and echo property are independent factors in predicting gallbladder neoplastic lesions. The size of the polyps is the most significant one among the factors to predict gallbladder neoplasm with its critical point of 0.925 cm.