中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
1期
35-38
,共4页
黄色肉芽肿性胆囊炎%术前诊断%临床特征
黃色肉芽腫性膽囊炎%術前診斷%臨床特徵
황색육아종성담낭염%술전진단%림상특정
Xanthogranulomatous cholecystitis%preoperative diagnosis%clinical characteristics
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/mL，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。
目的：通過迴顧性分析223例黃色肉芽腫性膽囊炎(XGC)的臨床資料，探討XGC的臨床特點和診治要點，為臨床工作提供必要的幫助。方法：對我院2008年1月—2013年10月通過病理證實為黃色肉芽腫性膽囊炎的臨床資料進行迴顧性分析。結果：所有病例均痊愈齣院。男女比例為1∶1.1，平均髮病年齡（59.8±14.0）歲，膽囊壁厚平均（0.6±0.3）cm，CA199平均（153.2±152.0）U/mL，經CT檢查僅2例確診為黃色肉芽腫性膽囊炎。術後隨訪未見併髮癥齣現。結論：黃色肉芽腫性膽囊炎術前及術中難以確診，術中冰凍切片檢查和術後病理檢查是診斷的關鍵，膽囊切除術是主要治療方法，且效果良好。
목적：통과회고성분석223례황색육아종성담낭염(XGC)적림상자료，탐토XGC적림상특점화진치요점，위림상공작제공필요적방조。방법：대아원2008년1월—2013년10월통과병리증실위황색육아종성담낭염적림상자료진행회고성분석。결과：소유병례균전유출원。남녀비례위1∶1.1，평균발병년령（59.8±14.0）세，담낭벽후평균（0.6±0.3）cm，CA199평균（153.2±152.0）U/mL，경CT검사부2례학진위황색육아종성담낭염。술후수방미견병발증출현。결론：황색육아종성담낭염술전급술중난이학진，술중빙동절편검사화술후병리검사시진단적관건，담낭절제술시주요치료방법，차효과량호。
Objective To explore diagnosis and treatment for Xanthogranulomatous cholecystitis(XGC)af?ter retrospective analysis 223 cases of XGC. Methods Data of 223 cases of XGC confirmed by pathology were analyzed retrospectively from 2008 to 2013 in our hospital. Results All cases recovered. The sex ratio 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/mL, and only 2 cases of XGC were diagnosed by CT examination. No complications showed in postop?erative follow-up Conclusion XGC was difficult to diagnose preoperatively and intraoperatively,frozen sec?tion examination and postoperative pathologic examination were the key to diagnosis. Cholecystectomy is the main treatment method of XGC and the clinic outcome is optimistic.
