摘要
目的探讨腹腔镜内镜微创保胆治疗胆囊息肉的临床效果。方法选择2007年6月—2011年4月在我院行腹腔镜内镜微创保胆治疗的胆囊息肉患者43例,回顾性分析其临床及手术资料。结果 43例中2例因术中冷冻病理结果为腺瘤性息肉,改为腹腔镜胆囊切除术;余均经胆道镜一次性切除息肉61枚,息肉直径6～13 mm,其中单发息肉26例,多发息肉15例,术后病理回报胆固醇性息肉32例,炎性息肉9例,术后无胆瘘及伤口感染,住院4～8d,术后定期超声检查。术后随访40例(93%),随访时间1～3年,均恢复良好,且无息肉复发。失访3例。结论腹腔镜内镜微创保胆治疗胆囊息肉技术安全可靠,创伤小,保留了胆囊,值得推广。
Objective To investigate the clinical value of minimal invasive endoscope in treating cholecyst polypus with cholecyst retention by laparoscope. Methods Clinical and operation data of 43 cholecyst polypus patients underwent minimal invasive endoscope with cholecyst retention in our hospital from June 2007 to April 2011 were retrospectively analyzed. Results Among the 43 cases,2 cases changed to laparoscopic cholecystectomy after frozen pathology results showing they were adenomatous polyps,and the other 41 cases were given minimal invasive endoscope and 61 polyps were successfully removed with their sizes from 6 to 13 mm.26 cases were single polyps,15 cases were multiple polyps,32 cases were cholesterol polyps by postoperative pathology returns and 9 cases were inflammatory polyps.There were no biliary fistula and wound infection after operation and the hospital stay was 4 to 8 days.All the patients were given regular postoperative ultrasound inspection.40 cases（93%） were followed up for one to three years and all the patients had satisfactory improvement without relapse of polyps.Three cases lost following up. Conclusion Minimal invasive endoscope in treating cholecyst polypus with cholecyst retention by laparoscope is safe and reliable with minimal invasion,so it should be recommended in clinic.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第3期312-313,共2页
Chinese General Practice
关键词
腹腔镜检查
胆囊疾病
息肉
Laparoscopy
Gallbladder diseases
Polyps
