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原发性胆囊癌与胆囊息肉
引用本文:陈国泰 郑朝旭. 原发性胆囊癌与胆囊息肉[J]. 肝胆外科杂志, 1999, 7(4): 272-273
作者姓名:陈国泰 郑朝旭
作者单位:中山医科大学附属第一医院腔镜外科!广州510080,中山医科大学附属第一医院腔镜外科!广州510080,中山医科大学附属第一医院腔镜外科!广州510080梁力健,中山医科大学附属第一医院腔镜外科!广州510080
摘    要:目的 探讨原发性胆囊癌与胆囊息肉的关系。方法 根据8年来所收治的胆囊息肉1019例及同期收治的68例原发性胆囊癌进行分析。结果 非肿瘤性息肉占收治病人的97%,肿瘤性息肉占3%,胆囊息肉恶变占胆囊腺瘤性息肉的23%。结论息肉直径大于1cm,单发、基底部宽、半球形、类园形或乳头状,在B超下表现为高回声的胆囊息肉应考虑为肿瘤性息肉,宜尽早手术治疗,而无症状的非肿瘤性息肉可追踪观察,不必急于手术。

关 键 词:胆囊肿瘤 息肉 外科手术 恶变

THE RELATINSHIP OF PRIMARY GALLBLADDER CARCINOMA AND GALLBLADDER POLYPS
Chen Guotai,Zheng Chaoxu,Wang Yonghong,et al.. THE RELATINSHIP OF PRIMARY GALLBLADDER CARCINOMA AND GALLBLADDER POLYPS[J]. Journal of Hepatobiliary Surgery, 1999, 7(4): 272-273
Authors:Chen Guotai  Zheng Chaoxu  Wang Yonghong  et al.
Affiliation:Chen Guotai,Zheng Chaoxu,Wang Yonghong,et al. Division of Minimal Access Surgery,First Affiliated Hospital of Sun Yat sen University of Medical Sciences,Guangzhou 510080
Abstract:Objective To investigate the relationship of primary gallbladder carcinoma and gallbladder polyps .Method The clinical data of 1019 cases of gallbladder polyps and 66cases of primary gallbladder carcinoma which were admitted in our hospital during recent eight years were analysed retrospectively.Result Ninety seven percent of total cases were no tumor polyps,only three percent of total cases were tumor polyps.Gallbladder polyps canceration took about twenty ther percent of the cases of gallbladdr adenomatous polyps.Conclusion Gallbladder polyps which is single and bigger than 1 cm in diameter,especially with broad fundus and high reflect echo under B mode ultrasound examination,should be considered as a tumor polyps and surgical treatment would be recommended to carry out earlier accordingly.Asymptomatic no tumor polyps can be treat with close follow up and no urgent operation is need.
Keywords:Gallbladder tumor Polyps
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