胆囊息肉样病变18例临床病理分析与手术指征探讨

The Clinical PatHological Analysis in 18 Patients with Polypoid Lesion of Gallbladder and the Discussions on Surgical Indieation

报告１９８４年２月至１９９４年１月在本校附属医院经手术治疗的胆囊息肉样病变１８例，均由组织学检查证实。其中炎性息肉９例，腺瘤５例，胆固醇性息肉２例，计占８９％。３０～４０岁为高发年龄组。大多数病人呈慢性胆囊炎表现。以Ｂ超检出率最高，达９５％。手术切除胆囊为最佳治疗办法。结合文献报道，对胆囊息肉样病变的诊断和外科病理特点进行了探讨，并拟定了手术适应症的５条初步标准和暂不需手术治疗病人的观察方法。

This paper reports theconditions of the 18 cases with polypoidlesion of gallbladder(PLG),treated surgi-cally in the Hosp ital Affiliated to NingxiaMedical College from February 1984 toFanuary,1994.All these cases are exam-ined to be true by the pathologicalmethod,They include 9 inflammatorypolypoid cases, 5 adenoma cases,2cholestecol polyp,(89 percent ).Peopleaged 30一40 are among the highest inci-dence of the disease. Most patients havethe symptoms of cholecystitis.The check-ing rate by B ultrasonic method is thehighest( 95 percent ).The best therapy isto remove the gallbledder through the op-eration. cmbined with other related arti-cles ,this paper is to discuss the diagnosisof PLG and the surgical pathological fea-tures, It also works out 5 basic levels of surgical indication and the. observationmethods as to the patients who do notneed surgival treament temporarily theporpose of this paper is for colleagues todiscuss with us.