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报告1984年2月至1994年1月在本校附属医院经手术治疗的胆囊息肉样病变18例,均由组织学检查证实。其中炎性息肉9例,腺瘤5例,胆固醇性息肉2例,计占89%。30~40岁为高发年龄组。大多数病人呈慢性胆囊炎表现。以B超检出率最高,达95%。手术切除胆囊为最佳治疗办法。结合文献报道,对胆囊息肉样病变的诊断和外科病理特点进行了探讨,并拟定了手术适应症的5条初步标准和暂不需手术治疗病人的观察方法。
Reported 18 cases of gallbladder polypoid lesions that were surgically treated at our affiliated hospital from February 1984 to January 1994 were confirmed by histological examination. There were 9 cases of inflammatory polyps, 5 cases of adenomas, and 2 cases of cholesterol polyps, accounting for 89%. 30 to 40 years old is a high age group. Most patients presented with chronic cholecystitis. The highest detection rate by B ultrasound was 95%. Surgical removal of the gallbladder is the best treatment. Combined with literature reports, the diagnosis and surgical pathological features of gallbladder polypoid lesions were discussed, and five preliminary criteria for surgical indications and observation methods for patients without surgical treatment were drafted.