胆囊息肉样病变130例临床分析

Clinical analysis in 130 patients with PLG

总结１３０例胆囊息肉样病变的临床表现、年龄分布和病理与临床关系。多发病灶占５６％．其中胆固醇息肉占８５％；单发病灶４４％．腺瘤占１６％，腺癌占７％。＜５ｍｍ病变中８７％为胆固醇息肉．腺癌均为单发并＞１０ｍｍ。胆囊息肉样病变症状发生率较高．病灶单发、＞１０ｍｍ时需手术．尤其是６０岁以上男性病人应采取积极措施；较小病变中腺瘤、腺肌病仍占一定比例．对所有病例应进行定期随访。

A total of 130 patients withpolypoid lesion of gallbladder (PLG)was retrospectively studied in this article.The clinicalsymptoms,age diStributions and the relations between the pathologic changes and the clinicalcourses were analyzed. The results showed that the multiple PLG was detected in 56% of thecases,of them the cholesterol polyPS accountedfor 85% of the cases;the single PLG was revealed in 44% of the cases,in which the adenoma and adenocarcinoma were found in 16 % and7% respectively.Among the lesions less than omm in diameter,cholesterol polyps were 87%of the lesions.All the adenocarcinomas were resulted from the single lesion more than 10mm indiameter.The authors believe that more PLGmay produce symptom; the single lesion morethan 10 mm in diameter should be operated especially on the male patients with more than 60years old. Of the smaller lesions,the certainproportion of the adenoma and adenomyomawere resulted in, therefore it is mandatory toregularly follow up.