胆囊壁内结石35例临床分析  

Clinically Pathologic Observation of 35 Cases with Intramural Gallstones

作　　者：王泓[1] 王向东[1] 邵明远[1] 李勇[1] 

机构地区：[1]四川省科学城医院普通外科,四川绵阳621900

出　　处：《川北医学院学报》2011年第3期235-236,共2页Journal of North Sichuan Medical College

摘　　要：目的:分析胆囊壁内结石的临床观察结果。方法:对2009年7月至2010年8月在我院行胆囊切除手术的112例胆囊标本行肉眼观察及病理组织切片检查。结果:112例胆囊标本肉眼可见胆囊壁内结石35例(31.3%)。病史明确反复胆囊炎急性发作3次及以上的共78例,其中发现胆囊壁内结石31例(39.7%);反复胆囊炎急性发作3次以下29例,其中发现胆囊壁内结石4例(13.8%),其差别有统计意义(p<0.05)。病理组织切片检查见胆囊壁内罗-来阿氏窦结构包裹胆色素颗粒。结论:胆囊壁内结石并不少见,其存在于胆囊壁罗-阿氏窦内。Objective： To study the intramural gallstones.Methods： The clinical data of 112 patients with cholecystolithiasis were hospitalized and operated by laparoscopic cholecystectomy in our hospital from July 2009 to Aug 2010.The gallbladder specimens were pathologically examined in all patients.Results： A total of 35 intramural gallstones were found in 112 cases.Among the patients who were attacked by acute cholecystitis more than or equal to 3 times in their medical history,the morbidity of intramural gallstones was 39.7%,which was significantly higher than that of less than 3 times attacked（p0.05）.Pathological findings were that the bile pigment granules were encapsulated in the Rokitansky-Aschoff sinus on the inner wall of gallbladder.Conclusion： The morbidity of intramural gallstones is higher than we expected.The intramural gallstones are encapsulated in the Rokitansky-Aschoff sinus,and this is the secondary chronic cholecystitis from repeated acute attacks.

关 键 词：胆囊壁内结石 罗-阿氏窦 胆囊切除 

分 类 号：R575.6[医药卫生—消化系统]