胆囊息肉临床病理分析及手术指征探讨

Clinical and Pathological Analysis of Gallbladder Polyps and Evaluation of Surgical Indications

目的:分析胆囊息肉样病变的临床与病理资料,探讨胆囊息肉的手术指征。方法:统计分析行手术治疗的2054例患者胆囊息肉临床及病理资料。结果:非肿瘤性息肉占90.1%,年龄≥60岁、直径≥10mm的单发息肉、息肉基底宽或无蒂、合并有胆囊结石者,术后病理检查属恶性者占12.3%。结论:大多数胆囊息肉恶变率极低,年龄≥60岁、直径≥10mm的单发息肉、息肉基底宽或无蒂、近期增长明显增快、息肉合并胆囊炎症状较重或胆囊功能丧失等,是胆囊切除的手术指征。

Objective To analyze the clinical and pathological data of gallbladder polyps and evaluate surgical indications.Methods Clinical data of 2 054 patients with gallbladder polyps underwent surgery were collected and analyzed.Statistical analysis were undertaken to evaluate the viability of surgical indications.Results The percentage of non-neoplastic lesions was 90.1%.Several parameters were found good indicators for possible malignant development of polypoid lesions,including;age older than 60 years,single lesion larger than 10 mm in diameter,and lesion with a wide basement,but no pedicle.Conclusion Surgical removal of gallbladder in patients should be undertaken if the lesion is likely to develop to malignancy.Certain surgical indications for patients with polypoid lesions of the gallbladder.