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246例胆囊息肉样病变的流行病学分析
引用本文:高建军,龚晃,王为忠. 246例胆囊息肉样病变的流行病学分析[J]. 中华肝胆外科杂志, 2001, 7(12): 710-711
作者姓名:高建军  龚晃  王为忠
作者单位:1. 解放军第二一○医院普通外科,
2. 西安市第四军医大学西京医院胃肠外科
摘    要:目的 了解胆囊自肉样病变(PLG)的发病情况,病理与临床间的关系。方法 回顾性分析了1989-1998年期间连续246例手术切除的PLG临床及病理学资料。结果 246例PLG占同期胆囊工除术的10.9%。非肿瘤性息肉占87.4%(215/246)。肿瘤性息肉占12.6%(31/246),肿瘤性息肉倾向于大于10mm,单发,广基,年龄大于50岁及合并有胆囊结石者。结论 胆囊肿瘤性息肉样病变有恶变倾向,主单发,直径大于10mm,广基的病变应手术治疗。特别是年龄大于50岁及合并有胆囊结石者。应重视PLG的定期随访。

关 键 词:流行病学 胆囊息肉样病变 胆囊切除术 B超检查
修稿时间:2000-11-09

Epidemiological survey of 246 cases of PLG
GAO Jianjun GONG Huang WANG Weizhong. Epidemiological survey of 246 cases of PLG[J]. Chinese Journal of Hepatobiliary Surgery, 2001, 7(12): 710-711
Authors:GAO Jianjun GONG Huang WANG Weizhong
Affiliation:GAO Jianjun GONG Huang WANG Weizhong Department of General Surgery,the 210 Hospital of PLA,Dalian 116021,P.R.China
Abstract:Objective To investigate the relationship among morbidity,pathological characteris- tics and clinical features of PLG.Methods The clinical and pathological data of 246 cases of PLG sur- gically treated in our hospital were retrospectively analyzed.Results The 246 patients accounted for 10.9% of all the patients received cholecystectomy at the same period of time.Amongst these 246 ca- ses,215 (87.4%) were of non-tumor polyp and 31 (12.6%) of tumor polyp.The size of tumor polyp was over 10 mm.Meanwhile,this type of poly was solitary,sessile and usually found in patients with an age over 50 and those with the complication of cholangiolithiasis.Conclusions PLG has the tenden- cy of malignancy.Those solitary and sessile lesions with a diameter of over 10 mm should he surgically treated.This is especially important for the patients with an age over 50 and those with the complica- tion of cholangiolithiasis.Meanwhile,regular follow-up should be emphasized.
Keywords:Polyps  Gallblandder  Epidemiology  Pathology
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