胆囊息肉样病变手术指征再探讨  

A Restudy on the indications for cholecystectomy of gallbladder polypoid lesions

作　　者：张长乐[1] 刘金根[1] 孙杨忠[1] 徐阿曼[1] 

机构地区：[1]安徽医科大学附属医院

出　　处：《普外临床》1996年第1期36-38,共3页

摘　　要：１９８３～１９９２年作者共手术治疗胆囊息肉样病变（ＧＰＬ）１３０例。病灶多发者占５６．９２％（７４／１３０），单发４３．１８％；良性９６．９３％（１２６／１３０），恶性３．０７％（４／１３０）。有并（伴）发病者４８例（３６．９２％）。胆囊切除术后随访症状消失者占４０．２０％（３９／９７），改善３０．９３％（３０／９７）。作者对ＧＰＬ的病理类型、并（伴）发病临床症状与手术指证关系进行了探讨。认为病变单发、直径＞１０ｍｍ、年龄＞６０岁者恶性可能大，为绝对手术指征。Abstract From 1983 to 1992, 130 patients with gallbladder polypoid lesions (GPL) underwent cholecyslectomy. Of the 130 cases, 74 (56.92%)were with multiple lesions, and 56 (43.18%) with solitary lesions. Altogether the lesion was benign in 126 (96. 93%) and malignant in 4 (3.07%). In the author's opinion solitary lesion with a diameter larger than 10mm in elder people is an indication for cholecystectomy since agreat possibility of nalignancy.

关 键 词：胆囊肿瘤 胆囊切除术 息肉 

分 类 号：R735.805[医药卫生—肿瘤]