摘要
随着影像学技术的发展，胆囊良性病变的检出率逐渐增高。部分胆囊良性病变可通过一系列病理生理过程演变为胆囊癌。目前临床医师对胆囊良性病变的认识存在诸多误区，制订临床决策时难以权衡。因此，应正确认识胆囊良性病变与胆囊癌的关系，既不能夸大胆囊癌变的风险，也不能心存侥幸而错失手术良机。胆囊良性病变的诊断与治疗关键是充分利用影像学检查资料，严格把握术前和术中两关．尽早识别具有恶变倾向的胆囊良性病变并施行规范化治疗。
With the development of imaging technology, the detection rate of gallbladder benign lesions has increased year by year. And part of the diseases may evolve into gallbladder cancer through a series of pathophysiologic processes. There are some misunderstandings in the understanding of gallbladder benign lesions for surgeons, so it is difficult for the clinical decision-making. The relationship between gallbladder benign lesions and gallbladder cancer should be correctly understood. Surgeons can neither exaggerate the risk of gallbladder cancer nor miss optimal timing of operation. The key point of the diagnosis and treatment of gallbladder benign lesions should be based on making full use of imaging data and strictly grasp pre- and intraoperative indications, and it is important to identify the malig- nant transformation of gallbladder benign lesions as soon as possible and carry out standardized treatment.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2017年第4期363-367,共5页
Chinese Journal of Digestive Surgery
基金
国家自然科学基金面上项目（30672040、81072000、81172015、81572417）
关键词
胆囊良性病变
胆囊肿瘤
临床决策
Gallbladder benign lesions
Gallbladderneoplasms
Clinical decision
