胆囊壁结石283例临床病理观察  

Clinicopathologic observation of 283 patients with intramural gallstones

作　　者：孔昭如[1,2] 蚁国铮[1,2] 白光林[1,2] 张国琼[1,2] 陈红梅[1,2] 

机构地区：[1]武警安徽省总队医院病理科 [2]安徽省立医院病理科

出　　处：《临床与实验病理学杂志》1997年第1期41-42,共2页Chinese Journal of Clinical and Experimental Pathology

摘　　要：目的：比较胆囊壁结石与胆囊腔结石的临床病理特征。方法：常规病理检查３０００例经腹腔镜摘除的结石性胆囊，检出胆囊壁结石２８３例（９．４％）。结果：胆囊壁结石与胆囊腔结石平均年龄分别为５０岁及４５岁，壁内结石病程４年以上者占８９．４％，而腔内结石仅占４３．２％。壁内结石多发性者占９４．７％，好发于胆囊颈及体部。并且主要存在于罗－阿窦内。结论：罗－阿窦变化是壁内结石定位的基础。Purpose To compare clinicopathologic features of patients with intramural gallstone with that of patients with intralumen gallstone. Methods The data from 3 000 patients with gallstone obtained by the laparoscopic cholecystectomy were analysed, in which 283 patients had intramural gallstones. Results The average ages of the patients were 50 years in the intramural gallstone group and 45 years in the intralumen gallstone group. The patients with intramural gallstone for more than 4 years accounted for 89 4%, but patients with intralumen gallstone 43 2%. Ninty four point seuen percent of patiens had multiple intramaral gallstones, which easily occurred in the neck and body of the gallbladder and located mainly in the Rokitansky Aschoff sinus. Conclusions The presence of the Rokitansky Aschoff sinus is the basis of the occurrence of the intramural gallstone.

关 键 词：胆囊结石 胆囊壁结石 胆结石 病理 

分 类 号：R657.420.2[医药卫生—外科学]