胆囊息肉样病变的479例临床分析  

Clinical Analysis of 479 Cases of Polypoid Lesion of Gallbladder

作　　者：陈伟新[1] 庄一心[1] 吴伟新[1] 沈卫星[1] 

机构地区：[1]复旦大学附属中山医院青浦分院普外科,上海201700

出　　处：《中国临床医学》2013年第2期145-146,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨胆囊息肉样病变(polypoid lesion of gallbladder,PLG)的手术治疗策略。方法:回顾分析复旦大学附属中山医院青浦分院2003年1月—2012年12月手术治疗的479例PLG患者的临床资料。结果:病理结果提示:良性PLG患者442例(92.3%),恶性PLG患者37例(7.7%)。良性PLG患者中年龄≥50岁者64例(14.5%)、有临床症状者327例(74.0%)、单发息肉者103例(23.3%)、息肉直径≥10 mm者27例(6.8%)、B超发现有明显血流者30例(6.8%);与恶性PLG患者[35例(94.6%)、36例(97.3%)、33例(89.2%)、32例(86.5%)、31(83.8%)]比较,差异均有统计学意义(P<0.01)。结论:PLG的手术指征为有临床症状、合并胆囊结石、年龄超过50岁且息肉单发、直径≥10 mm、基底较宽、B超发现有明显血流、随访中有增大趋势。Objective：To investigate the surgical treatment of polypoid lesion of gallbladder（PEG）. Methods：A retrospective study was conducted in 479 cases with PLG who underwent surgical treatment in Qingpu Branch of Zhongshan Hospital, Fudan University from Jan 2003 to Dec 2012. Results： Pathological results showed that 442 cases（92.3 %） were benign PLG, 37 cases（7.7 %） were malignant PLG. Cases with age over 50 years old,with clinical symptoms, with solitary polyps, with the diameter of PLG over 10 mm and with obvious blood flow in patients with benign PLG were 64（14. 5%）,327（74.0 %）, 103 （23.3 %）,27（6.8 %） and 30（6.8 %）, respectively; while they were 35（94.6 %）,36（97.3 %）,33（89.2 %）,32（86.5 %） and 31 （83.8 %） in patients with malignant PLG, respectively. There were significant differences between them（P〈 0.01 ）. Conclusions： Patients with PLG had surgical indications if one of the following criteria was met：with clinical symptoms,coexistence of gallstones,over 50 years old with solitary polyp, the diameter of polyp was more than 10 mm, polyp with wide base or rich blood flow,increasing trend in the follow-up.

关 键 词：胆囊 息肉 手术 

分 类 号：R575.6[医药卫生—消化系统]