中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2010年
10期
764-766
,共3页
胆囊切除术%胆囊%息肉样增生
膽囊切除術%膽囊%息肉樣增生
담낭절제술%담낭%식육양증생
Cholecystectomy%Gallbladder%Polypoid hyperplasia
目的 探讨胆囊息肉样病变(PLG)的临床特点、病理特征及手术指征.方法 回顾性分析经手术切除和病理证实的267例PLG的临床资料.结果 PLG好发于中青年,267例中,女101例,男166例.其中,胆固醇性息肉(CPs)241例(90.3%)为最常见的PLG,临床上无特异性症状.结论 PLG中CPs占绝大多数;单发、年龄＞60岁、直径＞10 mm或合并结石的PLG,应行外科手术治疗;直径＜10 mm无症状者可定期B超随访.PLG行胆囊切除术应有严格的指征.
目的 探討膽囊息肉樣病變(PLG)的臨床特點、病理特徵及手術指徵.方法 迴顧性分析經手術切除和病理證實的267例PLG的臨床資料.結果 PLG好髮于中青年,267例中,女101例,男166例.其中,膽固醇性息肉(CPs)241例(90.3%)為最常見的PLG,臨床上無特異性癥狀.結論 PLG中CPs佔絕大多數;單髮、年齡＞60歲、直徑＞10 mm或閤併結石的PLG,應行外科手術治療;直徑＜10 mm無癥狀者可定期B超隨訪.PLG行膽囊切除術應有嚴格的指徵.
목적 탐토담낭식육양병변(PLG)적림상특점、병리특정급수술지정.방법 회고성분석경수술절제화병리증실적267례PLG적림상자료.결과 PLG호발우중청년,267례중,녀101례,남166례.기중,담고순성식육(CPs)241례(90.3%)위최상견적PLG,림상상무특이성증상.결론 PLG중CPs점절대다수;단발、년령＞60세、직경＞10 mm혹합병결석적PLG,응행외과수술치료;직경＜10 mm무증상자가정기B초수방.PLG행담낭절제술응유엄격적지정.
Objective To investigate the clinical characteristics, pathological features and surgical indications of polypoid lesions of the gallbladder (PLG). Methods The clinical data of 267 patients with PLG confirmed by pathological examination were analyzed retrospectively. Results PLG was found more frequently in young and middle-aged people. Of the 267 patients, 166 were male and 101female. There were 241 cases with cholesterol polyps(CPs) (90. 3%). CPs were the most common PLG, but they presented no special clinical features. Conclusion CPs are dominant in PLG. Patients older than 60 years with a single polyp lesion or gallbladder stone complications should resort to surgical treatment. Patients with no symptoms and PLG of less than 10mm should be followed up periodically. Cholecystectomy for PLG should be performed based on strict indications of PLG.
