134例胆囊息肉样病变患者的临床诊断及治疗  

The clinical diagnosis and treatment of 134 cases of gallbladder polypoid lesion

作　　者：齐生伟[1] 郑永波[1] 徐振辕[1] 杜会改[1] 

机构地区：[1]解放军第260医院普外科,石家庄050041

出　　处：《白求恩军医学院学报》2009年第3期150-151,共2页Journal of Bethune Military Medical College

摘　　要：目的探讨胆囊息肉样病变(GPL)的诊断及手术适应证。方法对134例手术治疗的胆囊息肉样病变患者的病例资料进行回顾性分析。结果胆固醇性息肉以多发性为主(75.0%);炎性息肉、乳头状腺瘤、腺肌样增生多为单发。≥45岁的患者、息肉直径越大、胆囊颈部息肉以及息肉单发者的恶变发生率高(P<0.05)。结论B超是诊断GPL的有效方法。对于临床症状明显,B超提示息肉存在者;直径>1.0 cm的宽基底息肉;合并胆囊结石;无症状单发息肉B超随诊直径逐渐增大;位于胆囊颈部的息肉;以及中老年患者,应及时手术。Objective To investigate the diagnosis and operation indication of gallbladder polypoid lesion（GPL）. Methods 134 cases of GPL confirmed by pathology were analyzed retrospectively. Results Cholesterol polyp was a multiple disease（75.0% ）. The inflammatory polyp, papillary adenoma and adenomas were presented with single focus. The bigger the polyp diameter of the patients whose age is older than 45 is, the higher the canceration incidence of the polyp in neck of gallbladder and single polyp is（ P 〈 0.05 ）. Conclusion Type-B ultrasonic was the most effective method of diagnosing GPL. The gerontal patients with obvious clinical symptoms, the GPL 〉 10 mm in diameter, the combining cholecys- tolisthiasis, the enlarged polyp but without any symptom with single focus , the polyp locating on the neck should be considered to have a surgical intervention.

关 键 词：胆囊息肉样病变 临床诊断 手术适应证 

分 类 号：R567.4[医药卫生—呼吸系统]