黄色肉芽肿性胆囊炎223例诊治分析  

Diagnosis and Treatment for 223 Cases of Xanthogranulomatous Cholecystitis

作　　者：郑渤伟[1] 李丹[1] 

机构地区：[1]天津市南开医院干部保健科,天津300100

出　　处：《中国中西医结合外科杂志》2015年第1期35-38,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:通过回顾性分析223例黄色肉芽肿性胆囊炎(XGC)的临床资料,探讨XGC的临床特点和诊治要点,为临床工作提供必要的帮助。方法:对我院2008年1月—2013年10月通过病理证实为黄色肉芽肿性胆囊炎的临床资料进行回顾性分析。结果:所有病例均痊愈出院。男女比例为1∶1.1,平均发病年龄(59.8±14.0)岁,胆囊壁厚平均(0.6±0.3)cm,CA199平均(153.2±152.0)U/m L,经CT检查仅2例确诊为黄色肉芽肿性胆囊炎。术后随访未见并发症出现。结论:黄色肉芽肿性胆囊炎术前及术中难以确诊,术中冰冻切片检查和术后病理检查是诊断的关键,胆囊切除术是主要治疗方法,且效果良好。Objective To explore diagnosis and treatment for Xanthogranulomatous cholecystitis（XGC）af-ter retrospective analysis 223 cases of XGC.MethodsData of 223 cases of XGC confirmed by pathologyour hospital.ResultsAll cases recovered. The sexratio of male to female was 1∶1.1, the average age was（59.8±14.0） years, the average thickness of gallbladder wall was（0.6±0.3） cm, the average CA199 was（153.2±152.0） U/m L, and only 2 cases of XGC were diagnosed by CT examination. No complications showed in postop-erative follow-upConclusionXGC was difficult to diagnose preoperatively and intraoperatively,frozen sec-tion examination and postoperative pathologic examination were the key to diagnosis. Cholecystectomy is themain treatment method of XGC and the clinic outcome is optimistic.

关 键 词：黄色肉芽肿性胆囊炎 术前诊断 临床特征 

分 类 号：R657.41[医药卫生—外科学]