胆囊隆起性病变100例诊治分析

Investigation on the diagnosis and treatment of 100 cases with polypoid lesions of the gallbladder

目的:探讨胆囊隆起性病变(PLG)的诊断、治疗。方法:对B超和病理检测出的胆囊隆起性病变患者100例进行回顾性分析。结果:100例PLG患者中良性胆囊隆起性病变96例;恶性胆囊隆起性病变4例,病灶大小直径在10mm以上,其中合并结石者3例,其中单发者3例。94例行腹腔镜胆囊切除术(LC)。结论:B超是诊断PLG最有效的方法。PLG的手术指征是胆囊息肉最大直径>10mm;病人年龄>60岁;息肉基底宽或有增大趋势;合并胆囊结石或胆囊炎;胆囊壁局部不规则增厚。

Objective： To analyze the diagnosis,treatment and curative effect of the gallbladder projective lesion.Methods： the 100 patients with gallbladder projective lesion diagnosed by ultrasound or pathological examination were studied retrospectively.Results： 96 patients of all the PLG patients are benign.4 patients are malignant,more than lOmm in diameter of all the malignant patients,3 cases co-existing gallbladder stone,3 cases with single projective.94 cases received laparoscopic cholecystectomy（LC）.Conclusion： B-ultrasonography is the most effective diagnostic methods for detecting PLG.Operation Indications for PLG include：more than 10mm in a maximal tumor diameter;an over 60-year-old patients;a wide-base lesion or a lesion showing a tendency to enlargement;co-existing gallbladder stone or cholecystitis and PLG with irregularly thickened local gallbladder wall.