胆囊息肉52例诊治报告

目的 探讨胆囊息肉的诊断手段、手术指征及手术方式.方法 回顾性分析2005年1月～2007年12月本院收治的52例胆囊息肉患者的病例资料.结果 息肉呈单发者31例,多发者21例;息肉直径≤10 mm者35例,直径＞10 mm者17例;术后胆囊病理组织学检查：胆固醇息肉41例,炎性息肉3例,腺肌增生1例,腺瘤5例,腺癌2例（分别为Nevin Ⅰ期和Ⅱ期）;合并胆囊结石7例,均为混合性结石.全组52例患者均治愈出院,无严重并发症.结论 B超为临床诊断胆囊息肉的首选方法,也是最佳方法,治疗中应严格手术指征,避免行不必要的或预防性的胆囊切除术,腹腔镜胆囊切除术为良性胆囊息肉的主要手术方式.

Diagnosis and treatment of polypoid lesion of the gallbladder in 52 cases

Objective To analyze the diagnostic method,surgical indication and modus operandi of polypoid lesions of gallbladder （PLG）. Methods A retrospective analyzed on the clinical data was made for the patients of polypoid lesions of gallbladder were treated in our hospital from January 2005 to December 2007. Results A single polyp in 31 cases, multiple polypus in 21 cases.The surgical specimens showed that the diameter of PLG that equal to or shorter than 10 mm was noted in 35 cases,that longer than 10 mm in 52 cases.Pathologically,cholesterol polyp was recorded in 41 cases, inflammatory polyp in 3 cases,adenomyomatosis in 1 case,gallbladder adenoma in 5 cases,gallbladder carcinoma in 2 cases.7 cases of eholeeystolithiasis were mixed stone.All the 52 cases were cured and discharged,there was no severe complication. Conclusion B-ultrasound is a preferred method for diagnosis of PLG.Operation indications should be strietly controlled,avoid unnecessary or preventive cholecysteetomy.Laparoscopic cholecysteetomy is the main modeof operation of benign gallbladder polypoid lesion.