摘要
目的探讨胆囊息肉样病变的临床和病理学特点及其对判断手术指征的意义。方法对244例经手术切除的胆囊息肉样病变的临床、影像学、病理学资料进行统计分析。结果良性息肉235例(96.31%);恶性息肉9例(3.69%),恶性息肉直径多大于1.0 cm且多为单发。结论单发、直径>1.0 cm、年龄>50岁、合并胆囊结石等为恶性病变的高危因素,宜行手术切除。
Objective To study the clinical and pathological features of the polypoid lesion of the gallbladder (PLG) for making decisions for surgical treatment. Methods The clinical, pathological and imaging data of 244 cases of PLG were retrospectively analyzed. Results There were 235 benign polyps (96.31%) and 9 malignant polyps (3.69%) in all these cases, and most of the malignant polyps had a diameter greater than 1.0 cm, which often appeared as a single lesion in the cases. Conclusion Surgical removal is indicated when the polyp appears as a single lesion with a diameter over 1.0 cm in patients older than 50 years, who may also have complications such as cholecysolithiasis or are exposed to other high-risk factors.
出处
《第一军医大学学报》
CSCD
北大核心
2002年第10期951-952,共2页
Journal of First Military Medical University
关键词
胆囊肿瘤
息肉
手术指征
gallbadder neoplasms
polyps
operative indication
