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目的 探讨胆囊息肉样病变 (PLG)临床与病理的特点和相互关系 ,及其对诊断处理的意义。方法 对 84例PLG临床、病理资料进行回顾性分析。结果 PLG占同期胆囊切除的 14% ,其中瘤样病变占96 4% ,肿瘤占 3 6 %。多数病变 <10mm ,仅少数病变 >10mm ,其中包括腺癌者。结论 ①B超对PLG诊断率较高 ;②≤ 5mm的病变 ,若症状不明显且病人较年轻 ,可定期B超观察 ,不急于手术 ;单发病变 >10mm ,年龄偏大者 ,或在随访中病变有增大趋势者 ,应给予手术治疗 ;6～ 10mm的病变 ,宜适当放宽手术指征 ,以免漏掉胆囊腺瘤等癌前病变。
Objective To investigate the clinical and pathological features and relationship between polypoid lesions of the gallbladder (PLG) and its significance in diagnosis and treatment. Methods The clinical and pathological data of 84 cases of PLG were retrospectively analyzed. Results PLG accounted for 14% of cholecystectomy during the same period, including 96% of tumor-like lesions and 36% of tumors. Most lesions <10mm, only a few lesions >10mm, including adenocarcinoma. Conclusions 1B ultrasonography has a high diagnostic rate for PLG; 2≤5mm lesions, if the symptoms are not obvious and the patient is younger, can be observed regularly by B-mode ultrasound and are not in a hurry for surgery; single lesion >10mm, older, or during follow-up Patients with increased lesions should be given surgical treatment; 6 ~ 10mm lesions should be appropriately relaxed surgical indications, so as not to miss gallbladder adenoma and other precancerous lesions.