胆囊隆起性病变的临床分析  

Clinical analysis of gallbladder projective lesions

作　　者：刘务华 何小东[2] 张振寰[2] 刘卫[2] 李秉璐[2] 赵玉沛[2] 

机构地区：[1]兰州市第一人民医院普外科,730050 [2]北京协和医院基本外科

出　　处：《中华普通外科杂志》2006年第5期333-335,共3页Chinese Journal of General Surgery

摘　　要：目的探讨胆囊隆起性病变中息肉、良性肿瘤和恶性肿瘤之间临床特点的差异性。方法回顾性总结325例胆囊隆起性病变的临床特点,对相关数据进行统计学处理。结果良性病变共308例,其中胆固醇息肉278例,其他类型息肉5例,腺瘤25例;恶性病变17例,其中腺瘤恶变 2例,腺癌15例。息肉、腺瘤和腺癌组中年龄超过50岁的分别占36．0％、32．0％和82．4％,B超显示平均直径分别为8．5 mm、11．7 mm和31．1 mm,低回声分别占1．5％、0和52．9％,单发病灶分别占 42．9％、68．0％和100％。结论息肉、腺瘤和腺癌三者之间在年龄、B超形态学改变上均有显著性差异。年龄,病变直径、数目、部位和B超回声表现可作为鉴别胆囊隆起性病变良恶性的根据。Objective To evaluate clinical features of three different gallbladder projective lesions. Methods Statistic analysis was performed for clinical data obtained from 325 cases of gallbladder projective lesions. Results There were 308 patients of benign lesions, including cholesterol polyps in 278 cases, other polyps in 5 cases, and adenomas of 25 cases. Malignant lesions was found in 17 cases, including 2 adenomas with malignant changes and 15 adenocarcinomas. 36. 0% and 32.0% patients with benign polyps and adenomas were over 50 years of age, while 82.4% patients with adenocarcinomas were over 50 years. Average size of benign polyps, adenomas and adenocarcinomas were 8.5 mm, 11.7 mm and 31.1 mm in diameter. 1.5% of benign polyps, 0% of adenomas and 52.9% of adenocarcinomas were of low echo. 42.9% of benign polyps, 68.0% of adenomas and 100% of adenocarcinomas were single polyp. Conclusion The nature of gallbladder projective lesions can be suggested by patient age, size, number, and intensity of gallbladder projective lesions under B-ultrasound.

关 键 词：胆囊疾病 息肉 腺瘤 腺癌 

分 类 号：R657.4[医药卫生—外科学] R735.8[医药卫生—临床医学]