胆囊息肉样病变手术切除指征临床分析  

INDICATIONS FOR OPERATION OF POLYPOID LESION OF GALLBLADDER:A CLINICAL ANALYSIS

作　　者：纪丕友[1] 张炳远[1] 孙传东[1] 

机构地区：[1]青岛大学医学院附属医院肝胆外科,山东青岛266003

出　　处：《齐鲁医学杂志》2010年第3期259-261,共3页Medical Journal of Qilu

摘　　要：目的探讨胆囊息肉样病变（PLG）手术切除指征。方法对124例PLG病人术前B超、手术切除标本及术后病理资料进行回顾性分析。结果手术标本示PLG直径〈1 cm者共72例,≥1 cm者52例。病理示：胆固醇性息肉59例（47.6%）,胆囊腺瘤35例（28.2%）,炎性息肉18例（14.5%）,胆囊癌8例（6.5%）,其他4例（3.2%）。良性组与潜在恶性及恶性组病人年龄、息肉数目、PLG大小、PLG形态、胆囊结石、血流比较差异均有显著性（χ2=4.1~71.6,P〈0.05）。结论 PLG符合下列条件之一均应手术切除：病人年龄≥50岁的单发息肉,并存胆囊结石,息肉直径≥1 cm,广基息肉或血流信号丰富,有临床症状。Objective To analyze the indications for surgery of polypoid lesion of gallbladder（PLG）. Methods A retrospective study was carried out to analyze the data of ultrasound,surgical specimens and pathologic characteristics of 124 patients with PLG. Results The surgical specimens showed that the diameter of PLG that shorter than 1 cm was noted in 72 patients,that equal to or longer than than 1 cm in 52 cases.Pathologically,cholesterol polyp was recorded in 59 cases（47.6%）,gallbladder adenoma in 35（28.2%）,inflammatory polyp in 18（14.5%）,gallbladder carcinoma in eight（6.5%）,and other conditions in four（3.2%）.The age,number of polyps,size and shape of PLG,stones in the gallbladder,and blood flow among the patients in benign,potentially malignant and malignant groups were significantly different（χ2=4.1-71.6,P0.05）. Conclusion Patients were recommended to undergo operation if one of the following criteria was met： over 50 years old with solitary polyp;coexistence of gallstones;the polyp is ≥1 cm in diameter;polyp with wide base or rich blood flow;with clinical symptoms.

关 键 词：胆囊 息肉 超声检查 病理学 临床 外科手术 

分 类 号：R657.4[医药卫生—外科学]