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目的 探讨胆囊息肉样病变 (PLG)的临床表现、影像学、病理学特点。方法 对 10 3例PLG患者的临床、影像学、病理学及术后随访资料作统计分析。结果 胆固醇性息肉 5 4例 ,炎性息肉 34例 ,未见息肉 7例 ,胆囊肿瘤性息肉 (NPG) 8例 (腺瘤 6例、腺癌 2例 )。在直径≤ 5mm、6～ 10mm、11～ 15mm、>15mm组 ,NPG分别为 0(0 / 2 2 )、3例 (3/ 6 4 )、4例 (4 / 16 )、1例 (1/ 1) ,腺癌 2例直径均≥ 15mm ,NPG在直径 >10mm组多于≤ 10mm组。NPG中单发 6例 (6 / 8) ,非NPG中单发 2 7例 (2 7/ 95 )。术后中长期并发症发生率 32 8% (19/ 5 8)。结论 PLG应先做定期B超随访 ,出现下述表现之一者宜切除胆囊 :直径 >10mm、单发广基、随访中增大、伴有胆囊结石、症状明显或其它影像学检查提示NPG。
Objective To investigate the clinical manifestations, imaging features and pathological features of gallbladder polypoid lesions (PLG). Methods The clinical, imaging, pathology and postoperative follow-up data of 103 PLG patients were analyzed statistically. Results There were 54 cases of cholesterol polyps, 34 cases of inflammatory polyps, 7 cases of no polyps, 8 cases of gallbladder polyposis (NPG) (6 cases of adenoma and 2 cases of adenocarcinoma). NPG were 0 (0/2 2), 3 (3/64), 4 (4/16), and 1 (1/2) in the group of ≤5 mm, 6-10 mm, 1). The diameter of two cases of adenocarcinoma were all ≥ 15 mm. The group of NPG more than 10 mm in diameter> 10 mm group. In NPG, 6 cases (6/8) were single and 27 cases (27/95) were non-NPG. The postoperative long-term complication rate was 32.8% (19/58). Conclusions PLG should be followed up on a regular basis. One of the following manifestations should be excised: gallbladder> 10mm in diameter, single wide base, increased at follow-up, with gallstones, obvious symptoms or other imaging findings suggesting NPG.