| 黄色肉芽肿性胆囊炎的诊治分析 |
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| 引用本文： | 谢于,孙强,段伟宏,周宁新.黄色肉芽肿性胆囊炎的诊治分析[J].中国现代手术学杂志,2011,15(5):343-345. |
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| 作者姓名： | 谢于 孙强 段伟宏 周宁新 |
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| 作者单位： | 中国人民解放军第二炮兵总医院肝胆外科,北京,100088 |
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| 摘 要： | 目的探讨黄色肉芽肿行胆囊炎（xanthogranulomatous cholecystitis,XGC）的诊治。方法回顾性分析4例XGC的临床资料并复习相关文献。结果术前影像学诊断均未能明确诊断,全部病例均术后病理确诊。手术方式：3例行胆囊床肝脏楔形切除术、肝十二指肠韧带淋巴结清扫,1例行胆囊床肝脏楔形切除术、肝十二指肠韧带淋巴结清扫及部分结肠肝曲切除术,4例病人均治愈。均获随访,平均时间39个月（7个月～6年）,患者健康状况良好,无局部复发及恶变情况。结论 XGC是一种较为少见的胆囊炎,术前诊断较为困难,容易误诊为胆囊癌,确诊依赖病理检查,手术切除是治疗的最佳方法。术中冰冻病理检查可指导手术方案的实施。
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| 关 键 词： | 胆囊炎 黄色肉芽肿性 |
The Analysis of Diagnosis and Treatment for Xanthogranulomatous Cholgecystitis |
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| XIE Yu,SUN Qiang,DUAN Wei-hong,ZHOU Ning-xin.The Analysis of Diagnosis and Treatment for Xanthogranulomatous Cholgecystitis[J].Chinese Journal of Modern Operative Surgery,2011,15(5):343-345. |
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| Authors: | XIE Yu SUN Qiang DUAN Wei-hong ZHOU Ning-xin |
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| Institution: | XIE Yu,SUN Qiang,DUAN Wei-hong,ZHOU Ning-xin(Department of Hepatobiliary Surgery,PLA.Erpao General Hospital,Beijing 100088,China) |
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| Abstract: | Objective To investigate the clinical results of diagnosis and treatment for xanthogranulomatous cholecystitis(XGC).Methods The clinical characteristics,the pathological results and their follow-up information were retrospectively analyzed in 4 patients with XGC. Results All patient were diagnosed carcinoma of gallbladder before operation,while postoperative pathological examination confirmed XGC.Among them,3 cases were performed partial liver wedge resection beneath gallbladder bed and lymph node resection... |
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| Keywords: | cholgecystitis xanthogranulomatous |
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