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目的评价胆囊息肉样病变的手术指征及治疗效果。方法对我院80例胆囊息肉样病变患者的诊断、手术指征和治疗效果进行分析。结果本组患者术中剖开胆囊见息肉位于胆囊体部58例,胆囊底部8例,胆囊颈部14例,病变大小最小直径3 mm,最大20 mm,且均为单发,合并胆囊结石比例较高,术后病理类型胆固醇息肉59例,炎性息肉11例,单纯性腺瘤7例,腺肌样增生3例。术后均恢复良好,临床症状多完全消失及明显改善,无黄疸,肝功能正常,复查B超未见胆总管结石,术后1周左右痊愈出院。结论目前B超是检查胆囊息肉样病变首选的方法,对于胆囊息肉样病变的治疗,既不能盲目扩大手术的指征,又要防止发生癌变而错失手术良机。
Objective To evaluate the surgical indications and therapeutic effects of polypoid lesions of gallbladder. Methods 80 cases of gallbladder polypoid lesions in our hospital diagnosis, surgical indications and treatment effects were analyzed. Results The group of patients with intraoperative gallbladder polyps located in the gallbladder body 58 cases, the bottom of the gallbladder in 8 cases, 14 cases of gallbladder neck, the lesion size of the smallest diameter of 3 mm, maximum 20 mm, and are single, combined gallstones ratio High, postoperative pathological type of cholesterol polyps in 59 cases, inflammatory polyps in 11 cases, 7 cases of simple adenoma, adenomyosis in 3 cases. After operation, all patients recovered well, clinical symptoms disappeared completely and obviously improved. There was no jaundice and normal liver function. There was no common bile duct stones in B-scan after operation. All cases were discharged after 1 week. Conclusion At present, B-ultrasound is the preferred method for examining polypoid lesions of the gallbladder. For the treatment of polypoid lesions of the gallbladder, neither the indications for surgery should be blindly expanded, but the opportunity for surgery should be missed to prevent the carcinogenesis.