严格胆囊息肉样病变的手术指征  

Operation indications for polypoid lesions of gallbladder

作　　者：但震宇[1] 耿小平[2] 梁久银[1] 龚仁华[1] 李凯琅[1] 候辉[1] 陈新[1] 周其林[1] 

机构地区：[1]武警安徽总队医院外三科,合肥230041 [2]安徽医科大学第一附属医院普外科,合肥230022

出　　处：《国际外科学杂志》2008年第4期232-234,共3页International Journal of Surgery

摘　　要：目的探讨胆囊息肉样病变的手术指征，避免无辜胆囊切除。方法回顾性分析828例B超提示并经手术切除治疗的胆囊息肉样病变临床资料。结果（1）年龄〉50岁、单发、胆囊息肉直径〉1cm等是胆囊恶性病变的高危因素；（2）各年度因胆囊息肉样病变而行胆囊切除占同期胆囊切除术的2．7％～7．1％，其中胆固醇息肉占86．11％，胆囊癌占1．92％。结论目前因胆囊息肉样病变而行胆囊切除术中有绝大部分为非肿瘤性息肉，重视胆囊恶性病变的高危因素、严格胆囊息肉样病变手术指征有其必要性。Objective To investigate the operative indications for polypoid lesions of gallbladder （PLG） and avoid cholecystectomy for PLG without operation signs. Methods Retrospective analysis of 828 cases of PLG confirmed by pathologic examination was made. Results （ 1 ） Cancer should be suspected when a patient is older than 50 years or has a polypoid lesion larger than 1.0 cm. （2）The cholecystectomies for PLG accounted for 2. 7%-7. 1% of all cholecystectomies in the corresponding period, and cholesterol polyps accounted for 86. 11% of all PLG, and carcinoma of gallbladder accounted for 1.92 % of all PLG. Conclusion At present most of PLG accepting cholecystectomy are cholesterol polyps, so the high-risk factors of the neoplastic polyps and the operative indications for PLG should be considered deliberately.

关 键 词：胆囊息肉 胆囊肿瘤 手术适应证 

分 类 号：R445.1[医药卫生—影像医学与核医学]