黄色肉芽肿性胆囊炎的诊治分析

目的 本研究着重于探讨黄色肉芽肿性胆囊炎的诊断和治疗.方法 对本院2004年6月至2012年7月病理确诊为XGC的19例患者资料进行回顾性分析.结果 术前3例诊断为XGC,2例术前误诊为胆囊癌.5例行开腹手术,14例行经腹腔镜胆囊切除术（中转开腹4例）,腹腔镜与开腹手术组平均手术时间分别为87.3min及102.7min,但未有统计学意义（P＞0.05）.腹腔镜与开腹手术组术后平均住院天数分别为5.2天及9.4天,有显著差异（P=0.006）.结论 GC临床表现不典型,往往是难以术前诊断.病理检查是XGC诊断的关键,胆囊切除术是主要的治疗方法.

The analysis of diagnosis and treatment for xanthogranulomatous cholecystitis

Objective This study focuses on providing diagnosis and treatment for xanthogranulomatous cholecystitis （XGC）. Methods Clinical data from 19 patients diagnosed with XGC by pathological examination between June 2008 and July 2013in our hos- pital were analyzed retrospectively. Results In the 19 cases, only 3 of them were diagnosed preoperatively, and 2 of them were misdi- agnosed as gallbladder cancer; 5 of them underwent laparotomy surgery, the rest 14 underwent laparoscopic surgery（ Five cases of lapa- roscopic group had to be converted to open surgery）. The mean operative time is 87.3 minutes and 102.7minutes for laparoscopic and laparotomy group, respectively, there is no statistical significance. The mean postoperative hospital stay is 5.2 days and 9.4 days for laparoscopic and laparotomy group, respectively, and the difference attained statistical significance （P = 0. 006）. Conclusion XGC is usually difficult to diagnose preoperatively because of its atypical clinical manifestations. Pathological examination is the most impor- tant to diagnose XGC and cholecystectomy is the primary treatment.