胆囊胆固醇性息肉与腺瘤性息肉的临床比较

Clinical comparison of gallbladder cholesterol polyps and adenomatous polyps

目的对比和分析胆囊胆固醇性息肉与腺瘤性息肉的临床特征,为临床治疗提供参考依据。方法将我院2014年2月至2017年5月接受手术治疗的150例胆囊息肉样病变患者作为研究对象,回顾性分析患者的临床资料,比较胆囊胆固醇性息肉和腺瘤性息肉的临床特征。结果在全部150例胆囊息肉样病变患者中,胆固醇性息肉的占比最高,其次为腺瘤性息肉。胆固醇性息肉与腺瘤性息肉的发病年龄、性别、有无合并胆囊炎比较,差异无统计学意义(P>0.05);胆固醇性息肉患者的有临床症状、合并结石率显著高于腺瘤性息肉患者,差异有统计学意义(P<0.05);胆固醇性息肉主要为多发,腺瘤性息肉主要为单发,差异有统计学意义(P<0.05);胆固醇性息肉患者的息肉直径显著小于腺瘤性息肉,差异有统计学意义(P<0.05)。结论腺瘤性息肉的临床特征主要为单发、病变>10mm,短时间内存在增大趋势;胆固醇性息肉的临床特征主要为多发,病变≤10 mm,伴结石,存在临床症状。

Objective To compare and analyze the clinical characteristics of gallbladder cholesterol polyps andadenomatous polyps, to providea reference for clinical treatment. Methods From February 2014 to May 2014, 150 patientswith gallbladder polypoid lesions who accepted surgical treatment were selected as the research objects, the clinical data ofpatients were retrospectively analyzed, the clinical characteristics of the gallbladder cholesterol polyps and the adenomatouspolyp were analyzed. Results Among the 150 cases of patients with gallbladder polypoid lesions, the proportion ofcholesterol polyps was the highest, followed by adenomatous polyps. There were no significant differences in age, sex, andcholecystitis between patients with cholesterol polyps and adenomatous polyps（P〉0.05）. The rate of patient who hadclinical symptoms and combined with stones in patients with cholesterol polyps were significantly higher than those inpatients with adenomatous polyp （P〈0.05）. Cholesterol polyps were mainly multiple, and adenomatous polyps were mainlysingle, the difference was statistically significant （P〈0.05）. The polyp diameter of patients with cholesterol polyps wassignificantly smaller than that of patients with adenoma polyps, the difference was statistically significant （P〈0.05）.Conclusion The clinical features of adenomatous polyp is mainly single, pathological changes 〉10 mm, there is anincreasing trend in a short time; the clinical features of cholesterol polyps is mainly multiple, pathological changes 臆10mm, with stones, it shows the clinical symptoms.