腹腔镜胆囊切除术治疗1001例胆囊息肉样病变疗效观察

目的：探讨胆囊息肉样病变的诊断及手术指征。方法：回顾性分析1001例经腹腔镜胆囊切除术的胆囊息肉样病变病例的临床资料。结果：肿瘤性息肉222例,占21．3％,非肿瘤性胆囊息肉样病变779例,占78．7％。其中胆固醇息肉754例。4例为恶性息肉,单发,直径≥0．8cm,均为B超检查确诊。术后证实为早期腺癌。结论：B超是诊断胆囊隆起性病变的良好方法,胆囊息肉样病变实施腹腔镜胆囊切除术是安全可靠的。

The Effect of Laparoscopic Cholecystectomy in the Treatment of 1001 Cases Polypoid Lesions of Gallbladder

Objective： To investigate the diagnosis and surgical indications of polypoid lesions of gallbladder （PLG）. Method： We retrospectivly analysed 1001 cases of laparoscopic cholecystectomy by the gallbladder polypoid lesions of the clinical data of patients. Result： The B - ultrasonography discovery tu morous polyp was 222 cases, account for 21.3%, the non - tumorous PLG779 cases, accounts for 78.7%. And cholesterol polyps wes 754 cases. 4 example malignant polyps occur alone, diameter ≥0.8cm, which were confirmed the early adenocarcinoma after the surgery. Conclusion ： B - uhrasonography is a super - elevated lesion diagnosis method of gallbladder. And the implementation of polypoid lesions of gallbladder in laparoscopic choleeystectomy is safe and reliable.