黄色肉芽肿性胆囊炎15例临床分析

Xanthogranulomatous cholecystitis:a clinical analysis of 15 cases

目的:探讨黄色肉芽肿性胆囊炎(XGC)的诊断与治疗方法。方法:回顾性分析15例XGC患者的临床资料。结果:所有患者均经病理检查确诊,其中7例行腹腔镜胆囊切除术(LC)术,3例开腹胆囊切除术,2例开腹胆囊切除+胆总管探查+T管引流术,2例行胆囊切除+胆囊床肝部分切除术,1例行胆囊切除+胆囊床肝楔形切除+肝十二指肠韧带淋巴结清扫术。术后均恢复顺利,随访至今无复发或癌变。结论:XGC术前诊断较为困难,容易误诊为胆囊癌,治疗首选手术切除,术中冰冻切片检查可指导手术方案的实施。

Objective To investigatethe clinicaI results of diagnosis andtrcatment for xanthogranulomatous cholecystitis(XGC).Method The clinical data of 15 patients with XGC diagnosed by postoperative pathology were collected and analyzed.Results All patients were confirmed by pathological examination,including 7 routine LC surgery,3 cases of open abdominal gallbladder excision,2 cases of open abdominal gallbladder removal,gallbladder removal,chole tube cutting,2 cases of routine gallbladder removal,gallbladder bed liver wedge excision,1 case of routine gallbladder removal,hepatic biceps and hepatic heteroligaments.After the operation,they recovered smoothly,follow-up had not recurred or cancerous.Conclusion XGC preoperative diagnosis is difficult,easy to misdiagnose for gallbladder cancer,treatment preferred surgical excision,the examination of frozen slices in surgery can guide the implementation of surgical program.