胆囊息肉样病变281例临床分析

Clinical analysis on 281 cases of polypoid lesions of gallbladder

目的 探讨胆囊息肉样病变的临床若干问题 ,分析其诊疗方法的变化。方法 回顾性分析经手术切除和病理检查证实的胆囊息肉样病变 (PLG) 2 81例的临床资料。结果 2 81例中 ,男性176例 ,女性 10 5例。其中 ,胆囊胆固醇性息肉 (CPs) 2 5 1例 (89.3% ) ,男性 16 4例 ,女性 87例 ,其症状以腹痛最常见 (79.3% )。结论 PLG中CPs占绝大多数 ;PLG及CPs均为男性多于女性 ;年度手术统计表显示手术例数由少到多再由多到少的改变 ,反映了外科医生对CPs认识的改变 ;因PLG行胆囊切除术应有正确的指征。

Objective To investigate the pathologic and clinical features of the polypoid lesions of the gallbladder(PLG)and analyze the changes of diagnosis and therapy of PLG.Methods The clinical data of 281 patients with PLG confirmed by pathologic examination were analyzed retrospectively.Results There were 176 males and 105 females of PLG. Their ages ranged from 20 to 67 years(average age 39.7 years).There were 164 males and 87 females with cholosteral polyps(CPs)( 89.3% ).The main symptom was abdominal pain( 79.3% ).Conclusion The majority of PLG is cholestrol polyps.There were more males than females in patients with PLG or CPs.In the annual statistics the number of operations performed for PLG changed from small to big and then to small.This change reflected thange reflected the surgeons' cognition of PLG. Cholecystectomy for PLG should be performed in correct indications.