胆囊息肉的经皮内镜治疗

Gallbladder polyps:percutaneous endoscopic polypectomy

目的 :探讨胆囊息肉的治疗方法及经皮内镜胆囊息肉切除术的疗效。方法 :对 85例病人在硬膜外麻醉下行经皮内镜胆囊息肉切除术 ,先在胆囊底部作皮肤小切口 ,插入胆镜到胆囊内 ,用自制微波电极加热凝固息肉蒂部或基底部 ,切除息肉并作病理检查。术后定期随访。结果 :全部病人手术均顺利 ,手术时间 1～ 1.5h。 67例平均随访 5 .5年 (2～ 9年 ) ,结果无任何症状 ,B超检查 64例示病人胆囊功能得到完好保留 ,无结石或息肉复发。结论 :该方法是一种创伤小、效果好、并发症少的微创外科新技术 。

Objective Percutaneous endoscopic polypectomy of gallbladder polyps were applied and studied.Methods Among those who underwent percutaneous endoscopic polypectomy of the gallbladder,85 patients with gallbladder polyps were studied.Under the epidural anesthesia,cholecystoscope was introduced into the gallbladder.The polyps were coagulated by self made microwave coagulator and then resected for histopathological evaluation.The preserved gallbladders were followed up to evaluate the efficacy of this minimally invasive therapy.Results All procedures were uneventful with operation time of 1 to 1.5?h.Sixty seven patients were followed up for a mean of 5.5 years (2～9 years) and proved to be symptom free.In 64 cases,the gallbladder function was found to be well preserved without recurrence of polyps and occurrence of gallstones on ultrasonography.Conclusion The procedure reported is a reliable,simple,effective and minimally invasive technique to remove gallbladder polyps and to preserve gallbladder function for the patients with benign gallbladder polyps.