胆囊息肉诊治的新进展  

New progress in the diagnosis and treatment of gallbladder polyp

作　　者：王浩[1] 熊沛[2] 

机构地区：[1]安徽医科大学 [2]北京大学深圳医院肝胆外科,广东深圳518036

出　　处：《岭南现代临床外科》2013年第3期256-259,共4页Lingnan Modern Clinics in Surgery

基　　金：深圳市科技计划项目(200803014)

摘　　要：随着B超等影像学技术的广泛普及,胆囊息肉样病变(PLG)检出率越来越高,已成为胆道外科的常见疾病。目前针对PLG的处理方式主要是手术治疗,而迄今又无有效的方法在手术前明确PLG的类型,因此使得临床上大部分无恶变倾向的PLG实施了不必要的预防性胆囊切除术。鉴于此,本文将对PLG与恶变关系等进行综述,系统地认识PLG及其恶变的危险因素,从而确定预防性胆囊切除的手术指征及临床意义。With the wide popularity of B-ultrasonography imaging technology ,.PLG detectionrate is higher and higher, has become a common disease of biliary surgery. Currently on PLG treatment is mainly surgery, and so far no effective way to identify the nature of PLG before the surgery , thus makes the most patients without malignant change tendency of PLG imposed unnecessary cholecystectomy. In view of this , this article will to review the relationship of PLG and malignant transformation, and to understand the risk factors of PLG and its malignant transformation , so as to determine surgical indications of prophylactic cholecystectomy has a certain clinical significance.

关 键 词：胆囊息肉样病变 胆囊癌 危险因素 手术指征 腹腔镜胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]