13例黄色肉芽肿性胆囊炎的临床分析  

Clinical analysis of xanthogranulomatous cholecystitis in 13 cases

作　　者：董谦[1] 沈军[1] 张文杰[1] 沈定丰[1] 全志伟[1] 

机构地区：[1]上海交通大学医学院附属新华医院普通外科,200092

出　　处：《重庆医学》2007年第23期2409-2410,共2页Chongqing medicine

摘　　要：目的探讨黄色肉芽肿性胆囊炎(XGC)的诊断与治疗。方法回顾性分析1996年以来经病理确诊为黄色肉芽肿性胆囊炎的13例临床资料。结果术前B超检查13例,CT检查5例,MRI检查3例,ERCP检查1例,术前均误诊。术中冷冻病理确诊9例。9例行胆囊切除术,1例行胆囊切除加胆总管探查T管引流术,1例行胆囊大部切除加十二指肠瘘修补术,2例行胆囊切除加胆囊床部肝组织切除。均治愈,无死亡病例。结论XGC是一种少见的特殊类型的慢性胆囊炎,术前诊断困难,确诊依赖病理检查。开腹胆囊切除是基本手术方式。Objective To probe into the diagnosis and treatment of xanthogranulomatous cholecystitis（XGC）. Methods The clinical data of 13 XGC patients were analysed. Results All patients were examined by B-ultrasound in which 5 patients were examined by CT, 3 patients by MRI, 1 patient by ERCP. All patients were misdiagnosed. Complete cholecystectomy was executed in 9 cases. In addition to cholecystectomy, 1 case was executed with T-tube drainage,2 cases were executed with partial liver wedge rection. One case was executed with greater partial cholecystectomy. All patients were cured. Conclusion XGC is a rare and special type chronic cholecystitis. It is difficult to diagnose before operation. Definite diagnosis depends on pathological examination. The basic method of treatment is cholecystectomy.

关 键 词：黄色肉芽肿性胆囊炎 诊断 治疗 

分 类 号：R657.41[医药卫生—外科学]