摘要
目的 探讨胆囊息肉样病变 (PLG)的临床病理特征及手术指征。方法 对手术切除和病理诊断的胆囊息肉样病变 2 97例的临床资料进行回顾性分析。结果 非肿瘤性息肉中 80 .1%的直径小于 10mm ,71.6%的表现为多发 ;而肿瘤性息肉倾向于单发 ,且直径多大于 10mm。结论 胆囊息肉样病变有下列情况时应考虑手术治疗 :(1)肿瘤性息肉 ;(2 )年龄大于 5 0岁 ,病灶直径大于 10mm ,病灶位于胆囊颈部 ,或伴有胆囊结石者 ;(3 )伴有症状或继发结石者 ;(4 )经追踪观察 ,病灶增大。但对非肿瘤性息肉 ,尤其胆固醇性息肉 ,手术治疗应持慎重态度。
Objective To investigate the clinical and pathological charasteristic, and the operative indications of polypoid lesions of gallbladder (PLG). Methods The clinical date of 297 patients with PLG comfirmed by pathologic examination were analyzed retrospectively.Results In non-neoplasm lesions, 80.1% were less than 10mm in diameter, and 71.6% were multiple.However,most of tumorous polyps were single and more than 10mm in diameter. Conclusions If PLG companied with following conditions,an operation should be considered:(1)Neoplastic polyps.(2)The patients age are over 50 years old, the PLG diameter >10mm, the PLG lie in the neck of gallbladder.(3)PLG complicated with clinical symptoms.(4)The PLG diameter increases or complicated with stones.But surgical treatment should be prudent for non-neoplasm PLG, especially cholesterol polys.
出处
《中国普通外科杂志》
CAS
CSCD
2004年第2期111-113,共3页
China Journal of General Surgery
