胆囊息肉样病变267例临床分析

Clinical analysis of polypoid lesions of gallbladder： a report of 267 cases

目的 探讨胆囊息肉样病变（PLG）的临床特点、病理特征及手术指征.方法 回顾性分析经手术切除和病理证实的267例PLG的临床资料.结果 PLG好发于中青年,267例中,女101例,男166例.其中,胆固醇性息肉（CPs）241例（90.3%）为最常见的PLG,临床上无特异性症状.结论 PLG中CPs占绝大多数;单发、年龄＞60岁、直径＞10 mm或合并结石的PLG,应行外科手术治疗;直径＜10 mm无症状者可定期B超随访.PLG行胆囊切除术应有严格的指征.

Objective To investigate the clinical characteristics, pathological features and surgical indications of polypoid lesions of the gallbladder （PLG）. Methods The clinical data of 267 patients with PLG confirmed by pathological examination were analyzed retrospectively. Results PLG was found more frequently in young and middle-aged people. Of the 267 patients, 166 were male and 101female. There were 241 cases with cholesterol polyps（CPs） （90. 3%）. CPs were the most common PLG, but they presented no special clinical features. Conclusion CPs are dominant in PLG. Patients older than 60 years with a single polyp lesion or gallbladder stone complications should resort to surgical treatment. Patients with no symptoms and PLG of less than 10mm should be followed up periodically. Cholecystectomy for PLG should be performed based on strict indications of PLG.