胆囊息肉样病变612例临床分析

Clinical analysis of 612 cases of polypoid lesions of gallbladder

目的分析总结胆囊息肉样病变的临床、病理、诊断等特征．方法我院及中华医学会第七届全国胆道外科学术会议资料共报道胆囊息肉样病变６１２例进行分析和总结．结果胆囊息肉样病变６１２例占同期胆囊切除术的４２％；３０岁～５０岁占７８５％；结石合并率２８５％；病理类型中以胆固醇息肉最多，占５３７％；腺瘤性息肉恶变率极高，达２８５％；临床表现无特异性，Ｂ超的诊断率最高，达９２５％．结论胆囊息肉样病变患者相对年轻；病理类型以胆固醇类多见，腺瘤性息肉易恶变，特别是合并结石的息肉；

AIM To analyse and summarize clinical pathological and diagnostic characteristics of polypoid lesions of gallbladder. METHODS Six hundred and twelve cases of polypoid lesions of gallbladder from our hospital and reported at the Seventh National Conference of Biliary Surgery of Chinese Medical Association were analyzed and summarized. RESULTS Six hundred and twelve cases of polypoid lesions of gallbladder accounted for 4 2% of all cholecystectomies in the corresponding period. The age of 30-50 years accounted for 78 5% of all ages, and 28 5% were complicated with gallbladder stone. Cholesterol polyp was the most common in the pathological types, which covered 53 7%. Canceration rate of adenomatous polyp was very high (28 5%). There was no specific clinical manifestation. B ultrasonography was the best diagnostic method with an accuracy of 92 5%. CONCLUSION The patients of polypoid lesions of gallbladder are relatively young. Cholesterol polyp is the most common pathological types. Adenomatous polyp is easy to cancerate, especially the polyp complicated with gallbladder stones. B ultrosonography is the first choice in clinical diagnosis.