胆囊息肉样病变84例临床病理分析

Clinical and pathologial analysis on 84 cases of polypiod lesion of the gallbladder

目的 探讨胆囊息肉样病变 (PLG)临床与病理的特点和相互关系 ,及其对诊断处理的意义。方法 对 84例PLG临床、病理资料进行回顾性分析。结果 PLG占同期胆囊切除的 14% ,其中瘤样病变占96 4% ,肿瘤占 3 6 %。多数病变 <10mm ,仅少数病变 >10mm ,其中包括腺癌者。结论 ①B超对PLG诊断率较高 ;②≤ 5mm的病变 ,若症状不明显且病人较年轻 ,可定期B超观察 ,不急于手术 ;单发病变 >10mm ,年龄偏大者 ,或在随访中病变有增大趋势者 ,应给予手术治疗 ;6～ 10mm的病变 ,宜适当放宽手术指征 ,以免漏掉胆囊腺瘤等癌前病变。

Objective To study the clinical and pathologial featurs and their relationship of polypoid lesion of the gallbladder(PLG),and the significance in diagnosis and therapy.Methods The clinical and pathologial data in 84 cases of PLG were reviewed.Results The proportion of PLG was 14% in all cholecystectomy cases during the same period.Among them,the proportion was 94.6% of tumor-like lesion and 3.6% of tumor respectivitely.Most of PLG were<10 mm,but a few of them were>10 mm in size,including adenocarcinoma.Conclusion Brightness mode ultrasonography has diagnostic significance.If the focus of PLG is>6 mm,and grows up gradually in follow-up,it is suitable for relaxing indications of cholecystectomy.