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目的 :探讨胆囊息肉手术适应症。方法 :研究了 148例手术切除直径小于 2 0mm的胆囊息肉及 12 0例B超检查的胆囊息肉。根据组织学、临床特征、息肉最大直径以及数目 ,将手术切除的胆囊息肉分为 4组 ,并进行对比分析。B超检查随访的胆囊息肉患者随访其息肉的大小及数目 ,并且分析息肉在观察期的变化。结果 :腺瘤的平均直径为 (6 .0 2± 3 .40 )mm (平均值±标准差 ) ,腺癌的平均直径为 (10 .83± 4.19)mm。 97%胆固醇息肉直径小于 10mm ,平均 (3 .6 4± 2 .6 5 )mm。肿瘤息肉有单个趋向 (腺瘤 ,n =1.40± 0 .86 ;腺癌 ,n =1.15± 0 .42 ) ;而半数胆固醇息肉为多个 (n =3.12± 3 .30 )。但是 ,当息肉少于 3个且直径在 5～ 10mm时 ,肿瘤发生率为 37% ,直径小于 5mm的息肉 ,肿瘤发生率较低 ,为 6 %。结论 :不管胆囊息肉的大小 ,若息肉少于 3个时 ,应选择切除胆囊 ,治疗胆囊息肉
Objective: To investigate the indications of gallbladder polyps. Methods: 148 cases of gallbladder polyps with a diameter of less than 20mm and 120 cases of B-ultrasound with gallbladder polyps were studied. According to histology, clinical features, maximum diameter and number of polyps, surgically resected gallbladder polyps were divided into 4 groups and compared. The size and number of polyps were followed up for patients with gallbladder polyps who were followed up by B-ultrasound and the changes of polyps during the observation period were analyzed. Results: The average diameter of adenoma was (6.02 ± 3.40) mm (mean ± standard deviation), and the average diameter of adenocarcinoma was (10.83 ± 4.19) mm. 97% of cholesterol polyps were less than 10mm in diameter with an average of 3.64±2.65mm. Tumor polyps had a single trend (adenomas, n=1.40±0.86; adenocarcinoma, n=1.15±0.42); and half of cholesterol polyps were multiple (n=3.12±3.30). However, when the polyps are less than 3 and the diameter is 5 to 10mm, the tumor incidence is 37%, and the polyps less than 5mm in diameter have a lower tumor incidence rate of 6%. Conclusion: Regardless of the size of the gallbladder polyps, if there are less than 3 polyps, the gallbladder should be removed to treat gallbladder polyps.