摘要
目的 探讨胆囊息肉样病变 (PLG )的临床若干问题 ,提高其诊疗水平。方法 腹部B超检出胆囊息肉样病变患者 2 0 3例 ,其中 3 0例经腹腔镜或剖腹胆囊摘除术 ,对其临床表现与病理特点进行比较。结果 3 0例患者中男性 12例 ,女性 18例 ,年龄 2 8～ 62岁 ,平均年龄 3 8岁。有症状者 16例 ,占 5 3 .3 3 %。真性肿瘤 5例 ( 16.66% ) ,息肉样病变 2 5例 ( 83 .3 3 % ) ,胆囊增厚 18例( 60 .0 % ) ,合并结石者 4例 ( 13 .3 % )。结论 胆囊息肉样病变属胆囊良性肿瘤 ,但少数有恶变危险 ,建议对单发性胆囊息肉样病变直径≥ 10mm或多发性的直径≥ 12mm、直径 <10mm ,但胆囊壁显著增厚 ( >4mm)及 (或 )伴有结石、有较明显的临床症状和B超动态检查息肉短期增大者应手术治疗。
Objective To investigate the pathologic and clinical features of the polypoid lesions of the gallbladders (PLG) and to improve the diagnosis and therapy.Methods The ultrasonography (US) was performed in 203 cases of PLG. 30 of 203 cases were hospitalized and operated,their clinical manifestations with pathology were compared.Results There were 12 males and 18 females whose ages ranged from 28 to 62 years (average age 38 years).16 of them had evident symptoms (53.33%).Pathological categories:True benign tumors in 5 cases (16.66%);Polypoid lesions in 25 cases (83.33%).There were thick walls of the gallbladders in 18 cases (60.0%);PLG with gallstone in 4 cases (13.3%). Conclusion A few of PLG have the risk of malignancy though they are benign tumors.Cholecystectomy should be performed in following cases:PLG≥10mm or multiple polyps≥12mm in diameter;PLG< 10mm but with thick wall of the gallbladder obviously(>4mm)or with gallstone;severe symptoms;and enlargement of PLG in short time.
出处
《临床内科杂志》
CAS
北大核心
2004年第5期300-301,共2页
Journal of Clinical Internal Medicine
关键词
胆囊息肉样病变
胆囊肿瘤
Ploypoid lesions of the gallbladder
Gallbladder neoplasms
