胆囊癌与黄色肉芽肿性胆囊炎的鉴别诊断及手术治疗策略  

Differential diagnosis and surgery for gallbladder carcinoma and xanthogranulomatous cholecystitis

作　　者：邱智泉[1] 于勇[1] 罗祥基[1] 刘辰[1] 易滨[1] 程庆保[1] 冯飞灵[1] 张柏和[1] 姜小清[1] 李斌[1] 

机构地区：[1]第二军医大学东方肝胆外科医院胆道外科、第二军医大学胆道恶性肿瘤专病诊疗中心,上海200438

出　　处：《中华肝胆外科杂志》2017年第5期336-338,共3页Chinese Journal of Hepatobiliary Surgery

基　　金：上海市科委“科技支撑”基金（14140902100,13140902902）;中国医学基金会肿瘤预防与科研项目（315.2202）

摘　　要：胆囊癌是胆道系统最常见恶性肿瘤,预后极差.而黄色肉芽肿性胆囊炎是良性炎症性疾病,两者鉴别有一定难度.本文结合文献报道及本单位临床实践,对两者的鉴别要点及手术治疗进行探讨,并得出以下结论：炎症在两者的发病机制中都有重要作用,结合病史、影像资料以及术中快速病理,可提高两者诊断的准确性.胆囊癌根治术是胆囊癌首选治疗方式,但手术范围存有争议.黄色肉芽肿性胆囊炎往往切除胆囊即可,但如病情复杂,需采取不同手术方式.Gallbladder carcinoma （GC） is the most common malignant tumor in bile duct system.Xanthogranulomatous cholecystitis （XGC） is a benign inflammatory gallbladder disease.It is often misdiagnosed between them.This paper,through reviewing the literature and summarizing our own clinical experience,will give a better understanding on the two diseases,which was summarized as follows：inflammation is important both in the pathogenesis of GC and XGC,and we can make the correct diagnosis and choose an appropriate treatment by analy zing the feature of disease history,image data and rapid intraoperative pathological diagnosis.Radical resection remains the first choice in the treatment of GC,but the extent of resection is controversial.Normally,cholecystectomy is sufficient for curing XGC,but different surgeries are needed according to the specific disease conditions.

关 键 词：胆囊癌 黄色肉芽肿性胆囊炎 鉴别诊断 手术治疗 

分 类 号：R575.61[医药卫生—消化系统] R735.8[医药卫生—内科学]