CAJ | 학술논문

目的讨论胆囊息肉样病变(GPL)的诊断和处理.方法回顾性分析2002年至2011年10年间经超声检查处理的GPL病例.结果使用腹部超声检查方法确认GPL共591例,其中349例为女性,占59.1％；年龄范围20～73岁.有395例出现腹痛等症状,39.9％是单发息肉,9.8％同存胆囊结石.使用超声检查GPL的特异性为92.5％.136例使用腹腔镜胆囊切除术,对涉及胆囊癌的病例拟施行开腹胆囊扫除术.结论多数小的GPL为良性,可静止多年.但具有年龄＞50岁,息肉直径＞10 mm的这两条主要危险因素的患者,应预测可能为恶变的GPL.其余恶变的危险因素尚有同存胆囊结石、单发性息肉、有临床症状的息肉等.
목적 토론담낭식육양병변(GPL)적진단화처리.방법 회고성분석2002년지2011년10년간경초성검사처리적GPL병례.결과 사용복부초성검사방법학인GPL공591례,기중349례위녀성,점59.1％；년령범위20～73세.유395례출현복통등증상,39.9％시단발식육,9.8％동존담낭결석.사용초성검사GPL적특이성위92.5％.136례사용복강경담낭절제술,대섭급담낭암적병례의시행개복담낭소제술.결론 다수소적GPL위량성,가정지다년.단구유년령＞50세,식육직경＞10 mm적저량조주요위험인소적환자,응예측가능위악변적GPL.기여악변적위험인소상유동존담낭결석、단발성식육、유림상증상적식육등.
Objective To discuss the diagnosis method and management of Gallbladder polypoeid lesions (GPL).Method A ten-year (2002-2011) retrospective reviews of all patients result underwent in ultrosenography (US) was conducted.Results Total 591 peatients with GPL detected on US were identified,349 patients (59.1％) were women,the age ranges 20 to 93 years.395 patients had abdominal symtoms,of which 39.9％ patients had a single polyp and 9.8％ had gallstones.The specifisity of the diagnosis of GPL in US was 92.5 ％.Laparascopic cholecystectomy (LC) is the treatment of 136 chosen cases.In cases suspicious of malignancy,it is advisable to do cholecystectomy.Conclusions Most small GPL are benign and remain static for years.Age more than 50 years old and size of polyp more than 10 mm are the two main important risk factors predicting malignancy in GPL.Other risk factors include concurrent gallstones,solitary polyp,and symptomatic polyp.LC is the treatment of unless since the suspicion of malignancy is high.