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我们从1985年元月～1992年12月手术治疗胆囊息肉样变81例,男36例,女45例.年龄30岁～64岁,平均46岁.病程20天～18天,平均半年.76例行单纯胆囊切除术,5例行胆囊切除、胆总管探查术.术后剖开胆囊,记录息肉的大小、数目及形状,多个息肉者记录最大的一个.全部胆囊均做病检.结果与分析 81用例病检结果:胆固醇息肉27例(33%),炎性息肉22例(27%),腺瘤23例(28%),其中2例伴有不典型增生,腺癌(腺瘤恶变)6例(7.4%),腺肌瘤3例(3.7%).对胆囊息肉的大小、数目及形状与病理之间的关系做了详细的分析:直径<0.5cm的息肉29例,均为非肿瘤性;直径0.5cm～1cm的息
We treated 81 cases of gallbladder polyposis from January 1985 to December 1992. There were 36 males and 45 females. The age ranged from 30 to 64 years old, with an average of 46 years. The duration ranged from 20 days to 18 days. Routine simple cholecystectomy, 5 cases of cholecystectomy, common bile duct exploration. Postoperative open gallbladder, recording the size, number and shape of polyps, multiple polyps recorded the largest one. All gallbladder were diagnosed. Results Results of analysis and use of 81 cases: Cholesterol polyps in 27 cases (33%), inflammatory polyps in 22 cases (27%), adenoma in 23 cases (28%), of which 2 cases were associated with dysplasia, adenocarcinoma (adenomas) Malignancy occurred in 6 cases (7.4%) and adenomas in 3 cases (3.7%). The relationship between size, number and shape of gallbladder polyps and pathology was analyzed in detail: 29 polyps with a diameter of <0.5 cm Non-neoplastic; 0.5 cm to 1 cm in diameter