关于胆囊息肉样病变患者手术指征的考量
Considerations on indications for surgery in patients with polypoid lesion of the gallbladder.
作者信息
He Zu-Ming, Hu Xin-Qiao, Zhou Zhi-Xiu
机构信息
Department of General Surgery, Central Hospital of Yichang City, Yichang 443000, China.
出版信息
Di Yi Jun Yi Da Xue Xue Bao. 2002 Oct;22(10):951-2.
OBJECTIVE
To study the clinical and pathological features of the polypoid lesion of the gallbladder (PLG) for making decisions for surgical treatment.
METHODS
The clinical, pathological and imaging data of 244 cases of PLG were retrospectively analyzed.
RESULTS
There were 235 benign polyps (96.31%) and 9 malignant polyps (3.69%) in all these cases, and most of the malignant polyps had a diameter greater than 1.0 cm, which often appeared as a single lesion in the cases.
CONCLUSION
Surgical removal is indicated when the polyp appears as a single lesion with a diameter over 1.0 cm in patients older than 50 years, who may also have complications such as cholecysolithiasis or are exposed to other high-risk factors.
目的
研究胆囊息肉样病变（PLG）的临床及病理特征，为手术治疗决策提供依据。
方法
回顾性分析244例PLG患者的临床、病理及影像学资料。
结果
所有病例中，良性息肉235例（96.31%），恶性息肉9例（3.69%），大多数恶性息肉直径大于1.0 cm，且多为单发。
结论
对于年龄大于50岁、息肉为单发且直径超过1.0 cm、可能合并胆囊结石等并发症或存在其他高危因素的患者，建议行手术切除。
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