26例胆囊息肉样病变的临床与病理分析  

Clinical and Pathological Analysis of 26 Cases of Cholecystic Polypoid Lesions

作　　者：李晓春[1] 石民生[1] 王克定[1] 杨翔[1] 曹大德[2] 连雪[3] 

机构地区：[1]首都医学院附属北京红十字朝阳医院外科 [2]首都医学院附属北京红十字朝阳医院病理科 [3]首都医学院附属北京红十字朝阳医院物理诊断科

出　　处：《首都医学院学报》1992年第2期132-135,共4页

摘　　要：收治胆囊息肉样病变26例,经术后病理证实,良性病变22例(84.6％),恶性病变4例(15.4％)。其临床症状与胆石病相似。诊断主要依赖B超,正确率为92.0％。当与胆囊结石并存时,会出现误诊。病变的良恶与息内的大小和发病的年龄有关,恶性病变直径大于2.0cm,年龄高于60岁。癌瘤侵犯的深度和播散的范围与预后关系密切,侵润不超过肌层,无淋巴结转移者(3例)预后较好。良性病变行单纯胆囊切除,恶性病变加行胆囊床附近部分肝组织的切除及所属淋巴结清扫。26 cases of cholecystic polypoid lesions had been admithed and operated on from Jan- uary, 1987 to October, 1990. Serial pathological section had been performod. Twenty two cases (84.6%) were benign; Heir average age was 40. 2 years old. Four cases (15.4% ) were malignant, their average age was 65.5 years old. The clinical symptoms of cholecystic poly- poid lesion was similar to those of cholelithiasis. The diagnosis was chiefly dependent upon Betasound and the diagnoltic accuracy was 92.0%, The diagnosis might be wrong when the lesion was associated with gallstone. Both the lesions nature (benign or malignant)and size were closely related to the age of patients. All the benign lesions in this gloup were less than 1.5cm in diameter and more than 1.5 cm in malignant ones. The age of 4 malignant cases were all alove 60 and lelow 60 in kenign group. The depth of cancer invasion and the range of tumor extension were all closely reluted to the paognosis. Three patients in malignant troup whose invasion was not leyond muscular layer and without lymphotic metaslasis, who had leen followed for 6 months to more than one year, were ale alioe, One case with sur- rounding tissul infitrated was died of returrence 10 months ofter operation. The best choice of treatment for benign is simple choleeysteclomy and cholecystectomy with excision of sur- rouding liver tissul and eradication of local lymph glands for mustular infiltrated cases.

关 键 词：胆囊切除术 息肉样病变 胆囊 

分 类 号：R657.4[医药卫生—外科学]