摘要
目的 探讨胆囊息肉病变 (PLG)的临床和病理的关系 ,指导临床诊治。方法 对 113例胆囊息肉样病变据其临床和病理诊断的关系进行回顾性分析。结果 113例PLG占同期胆囊切除数据的 9.9% ,非肿瘤性息肉 10 5例 (92 .9% ) ,肿瘤性息肉 8例 (7.1% )。肿瘤性息肉多为直径 >10mm、单发病灶。 8例胆囊腺瘤中有 3例癌变。结论 ①胆囊腺瘤癌变倾向明显。②单发且 >10mm的病变宜手术切除。③年龄作为肿瘤危除的参考因素。④对症状不重 ,没有癌变危险者可定期随访。
Objective To investigate the relation between clinical and pathological aspect of polypoid lesions of the gallbladder(PLG),and directing clinical management.Methods Retrospective analysis was performed for the relation between clinical and pathologicnl aspect from 113 cases PLG.Results 113 Cases of polypoid lesions amounted.9.9% of patients undergoing cholycystectomy of the time.Among them were 105(92.9%)cases of non neoplasm nature and 8(7.1%)neoplasm.Tumorous polyp tended to the single and more than 10 mm in diameter.There ware 8 cases of adenoma of the gallbladder had the inclination of going malignant change.Conclusion It was recommended that single lesions with a diameter of more than 10mm be surgically removed as soon as possible could.Age was a risk factor of tumor of the gallbladder.It is important for slight clinical symptoms and no indication of going malignant change should be attached to the periodic follow up.
出处
《肝胆外科杂志》
2001年第3期207-208,共2页
Journal of Hepatobiliary Surgery
关键词
胆囊息肉样病变
病理学
诊断
Polypoid Lesion
Gallbladder
Pathology Diagnosis
Surgery
