残余胆囊的诊断和治疗(附52例报告)  

Diagnosis and treatment of residual gallbladder(report of 52 cases)

作　　者：赵晓光 闫飞虎 王坚[2] 郝立校[2] 蔡珍福[2] 卞承玲[3] 

机构地区：[1]解放军413医院普通外科,浙江舟山316000 [2]解放军455医院肝胆外科 [3]上海长海医院耳鼻喉科

出　　处：《临床医学》2012年第12期6-8,共3页Clinical Medicine

摘　　要：目的探讨残余胆囊的诊断价值,提出有效预防和正确处理残余胆囊的方法。方法回顾分析解放军413医院2000年1月至2011年1月收治的52例残余胆囊病例的诊治过程。结果全组51例行择期残余胆囊切除手术,1例行内镜治疗(支架内引流)。其中49例病理证实为残余胆囊,2例为残余胆囊腺癌。全组除3例残余胆囊癌变外,其他病例近远期疗效良好。结论临床上残余胆囊的诊断日趋增多,可出现类似胆囊炎的症状,影响正常生活;部分患者可继发出现癌变,更应高度重视,因此,预防和治疗胆囊切除术后的残余胆囊很有必要。Objective To investigate the diagnostic value of residual gallbladder,and the right method to propose effective prevention and treatment residual gallbladder.Methods To analyse the data of 52 patients with residual gallbladder.Results The 51 cases were treated by residual routine elective cholecystectomy,one was treate by endoscopic（stent drainage）.The 49 cases were residual gallbladder pathology,2 cases were residual gallbladder adenocarcinoma.Three cases had of residual gallbladder,the other cases＇ recent long-term effect was good.Conclusion The number of residual gallbladder are diagnosed in clinic were more and more,the gallbladder symptoms can be similar,and the patient＇s life are changed;some patients have cancer,and should pay more attention.Therefore,prevention and treatment of gallbladder remnant after cholecystectomy is very necessary.

关 键 词：残余胆囊 诊治 预防 

分 类 号：R657.4[医药卫生—外科学]