胆囊腺肌增生症11例临床分析

目的探讨胆囊腺肌增生症的病因、诊断、恶变倾向及治疗方法。方法回顾11例经病理检查确诊的胆囊腺肌增生症的临床资料，并复习相关文献。患者术前均行B超检查，2例行CT检查。结果11例胆囊腺肌增生症临床表现与慢性胆囊炎、胆石症相似，术前B超明确诊断4例，诊断率为36．36％。在我们的病例中，局限型10例，节段型1例，无弥散型。11例均行胆囊切除，全部合并胆囊炎，6例合并胆囊结石，提示其发病与炎症和结石有关。结论胆囊腺肌增生症是一种胆囊壁增生性疾病，病因尚未十分清楚，其临床诊断困难，确诊需依赖病理检查。结合B超、CT及MRI等综合分析可提高术前诊断的准确性。因其具有恶变的潜在性，特别是60岁以上合并节段型者，故一旦诊断明确，均应手术切除胆囊。

CLINICAL ANALYSIS OF 11 CASES OF ADENOMYOMATOSIS OF GALLBLADDER

Objection The etiology,diagnosis,malignant tendency and therapy of adenomyomatosis of gallbladder(ADM)are discussed.Methods Eleven patients with pathologically proven ADM were retrospectively reviewed.All of cases were undergone ultrasound and 2 cases were undergone CT scan before operation.Results The clinical manifestations of the patients with ADM were similar to that of the chronic cholecystitis or cholelithiasis.Only 4 cases were diagnosed as ADM before operation by ultrasound,the accuracy was 36.36%.I...