胆囊管状腺瘤的诊断及治疗体会

Diagnosis and Treatment Realization of Cholecystic Tubular Adenoma

目的:探讨胆囊管状腺瘤的诊断及治疗。方法:对手术及病理证实的15例胆囊管状腺瘤患者的临床诊疗过程进行回顾性分析研究。结果:15例患者中男8例,女7例,年龄30~70岁临床表现为右上腹胀9例,无明显症状6例,在体检时发现胆囊占位。结论:胆囊管状腺瘤是胆囊良性肿瘤,临床少见,早期无典型症状,术前通过B超、CT和MR检查发现,术后病理是确诊的金标准,治疗方法易早期行手术治疗。

Purpose:To investigate the diagnosis and treatment of cystic duct adenoma.Methods:The clinical diagnosis and treatment of 15 patients with cystic duct adenoma confirmed by surgery and pa-thology were analyzed retrospectively.Results:Among the 15 patients,8 were male and 7 were female.The clinical manifestations were right upper abdominal distension in 9 patients aged 30-70 years old,with no obvious symptoms in 6 patients.During physical examination,gallbladder space was found.Conclusion:Cystic tubular adenoma is a benign tumor of the gallbladder,which is rarely seen clinically and has no typical symptoms at the early stage.It was found by B-ultrasonograph,CT and MR examination before surgery,and postoperative pathology is the gold standard for diagnosis.The treatment method is easy for early surgical treatment.