Galimov O V, Khanov V O, Baykov D E, Lapteva K V
Bashkir State Medical University of the Ministry of Health of Russia, Ufa, Russia.
Khirurgiia (Mosk). 2020(6):49-52. doi: 10.17116/hirurgia202006149.
To study the incidence of gallbladder polyps and the possibilities of modern methods of diagnosis and surgical treatment of this disease.
There were 42 laparoscopic cholecystectomies in patients with diagnosed gallbladder polyps. The polyps were diagnosed preoperatively. Intraoperative diagnosis during surgery for gallstone disease was observed in 3 cases. A comparative analysis of preoperative examination did not reveal any advantages of certain diagnostic approach.
Hyperplastic polyp was the most common type (=20, 47.6%), adenomatous polyps occurred in 19 (45.3%) cases, cholesteric polyps - in 3 (7.1%) patients. All patients had signs of chronic inflammation of the gallbladder wall with its infiltration by lymphocytes and histiocytes.
Further studies with clear criteria for the diagnosis of gallbladder polyps including ones for determining true polyps, precancerous and malignant polyps are required.
研究胆囊息肉的发病率以及该疾病现代诊断方法和手术治疗的可能性。
对42例诊断为胆囊息肉的患者进行了腹腔镜胆囊切除术。息肉在术前被诊断出来。在3例胆结石疾病手术中观察到术中诊断。术前检查的对比分析未发现特定诊断方法有任何优势。
增生性息肉是最常见的类型（=20例，47.6%），腺瘤性息肉发生在19例（45.3%），胆固醇性息肉发生在3例（7.1%）患者中。所有患者均有胆囊壁慢性炎症的迹象，伴有淋巴细胞和组织细胞浸润。
需要进一步研究，制定明确的胆囊息肉诊断标准，包括确定真性息肉、癌前息肉和恶性息肉的标准。
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