摘要
本文对经手术和病理证实的162例胆囊息肉样病变进行了分析,其中良性病变140例(86.42%),恶性病变22例(13.58%)。恶性病变组59.35%的患者年龄>50岁。病变的90.91%为单发性,直径95.05%>1cm,63.64%的病例合并胆结石。乳头状腺瘤,特别是伴有不典型增生的腺瘤、腺肌瘤病具有恶变倾向。B超及口服胆囊造影的诊断符合率分别是96.30%和55.56%(P<0.001)。因此,对于直径>1cm、单发性、合并胆结石的PLG应该手术治疗。而对直径<1cm、多发性、有蒂的PLG应该B超定期复查、短期内病变有增大者,也应及时手术切除。
One bandred and sixty two patients
with polypoid lesions of the gallbladder (PLG)proved by operation and histopathology from june
l986 to january 1993 were studied,of the 162cases, 140 (86.42)were benign, 22 (l3.58%)were
malignant. Single lesions accounted for90.91% of malignant lesions. 95.05% of carcinoma were
more than 1 cm in diamater P<001.There were 63.64%of malignant lesions coexisted with
gallstones. The adenomyoma, papillomaand adenoma with atypical hyperplasias have
malignant potential. The sensitivity of ultrasonogra- phy(US), oral cholecystography in
detecting PLG was 96.30%and 55.56%respeetively. Whenthe PLG exceeds 1 cm in diamate,
single in number and associated with gallstones, surgical tre-atment must be considered.
出处
《军医进修学院学报》
CAS
1994年第2期120-123,共4页
Academic Journal of Pla Postgraduate Medical School
关键词
胆囊疾病
息肉
胆囊造影术
病理学
gallbladder diseases
Polyps
ultrasonics
cholecystography
pathology