58例胆囊隆起性病变临床分析

The Retrospective Analysis of 56 Cases with Gallbladder Projective Lesion

目的探讨胆囊隆起性病变的诊断、治疗及疗效。方法对B超和病理检测出的胆囊隆起性病变58例进行回顾性分析。结果胆固醇性隆起性病变直径<10mm为63.5%,以多个隆起性病变、肿瘤性隆起性病变倾向单发直径≥10mm为75%(9/12),恶变1例直径为19mm。结论隆起性病变伴有结石者应行手术治疗,对多发性胆固醇性息肉有临床症状考虑手术,无症状思想顾虑严重者可考虑手术,单发腺瘤或炎性隆起性病变主张手术,疑为恶性肿瘤者应及时手术。

Objective To analyze the diagnosis, treatment and curative effect of the gallbladder projective lesion Methods the 58 patients with gallbladder projective lesion diagnosed by ultrasound or pathological examination were studied retrospectively. Results 63.5% patients have cholesterol projective lesion less than 10mm in diameter, 75 % patients have multi- projective lesion and single projective lesion greater than 10mm in diameter, 1 case with malignant lesion greater than 19mm in diameter Conclusion the ultrasound and CT were effective diagnostic methods, only a few patients were diagnosed by operation. The operation indication include.projective lesion with gallstone, multiple cholesterol projective lesion and have clinical presentation ,no presentation but have serious apprehensiveness, single adenoid or inflammatory lesion and the suspected tumorous lesion.