黄色肉芽肿性胆囊炎影像诊断及手术治疗

Imaging Diagnosis and Surgical Treatment of Xanthogranulomatous Cholecystitis

黄色肉芽肿性胆囊炎(XGC)是一种临床极其少见的胆囊慢性炎症性疾病,因其发病率低,且发病机制尚不清楚导致在术前通过影像学等检查很难做出正确诊断,其常与胆囊癌相混淆,造成误诊、误治。XGC存在潜在恶变的可能,且通常合并有胆囊结石以及伴随有腹痛的临床症状,一经确诊首选手术治疗,其中开腹手术及术中行冰冻活组织检查仍是XGC首选治疗方式。本文就XGC的影像学检查及手术治疗作一综述,以期提高XGC的诊疗水平。

Xanthogranulomatous cholecystitis(XGC)is a clinically rare chronic inflammatory disease of the gallbladder.Due to its low incidence and unclear pathogenesis,it is difficult to make correct results by imaging and other tests before surgery.Diagnosis is often confused with gallbladder cancer,causing misdiagnosis and mistreatment.XGC has the potential for malignant transformation,and it is usually associated with gallbladder stones and clinical symptoms accompanied by abdominal pain,the first choice of surgical treatment while once diagnosed,among them,open surgery and frozen biopsy during operation are still the first choice for XGC.This article reviews the XGC imaging examination and surgical treatment in order to improve the diagnosis and treatment of XGC.