葛长青 1李全福 2刘建辉 2邵青龙 2郭超 2钟永刚 2许旭2
作者信息
- 1. 卫生部肝胆肠外科研究中心,湖南长沙410008
- 2. 卫生部内镜与微创专业技术培训基地暨 河北省保定市第二医院肝胆外科,河北保定071051
- 折叠
摘要
Abstract
[Objectives] To investigate the diameter, clinical characteristics and pathological features of polypoid lesions of gallbladder (PLG) by microinvasive gallbladder-protected lithotomy. [Methods] 560 cases of PLG were divided into 7 groups: <5 mm, 5～6 mm, 6～7 mm, 7～8mm, 8～9 mm, 9-10 mm, >10 mm according to the diameter of PLG, the pathological features and single or multiple polyp lesions was analyzed. And all the PLG were divided into cholesterol polyps, chronic inflammatory polyps, neoplastic polyps of gallbladder. [ Results ] The proportion of cholesterol polyps, chronic inflammatory polyps, neoplastic polyps of gallbladder was 68.6% (384/560), 17.5% (98/ 560) and 13.9% (78/560), respectively. The neoplastic polyps of gallbladder was 5 cases (5/49), 10 cases (10/82), 8 cases (8/74), 18 cases (18/106), 13 cases (13/92), 11 cases (11/72), and 13 cases (13/85) in <5 mm, 5-6 mm, 6-7 mm, 7-8 mm, 8-9 mm, 9-10 mm, > 10 mm group. Among all the polyps, the proportion of neoplastic polyps of gallbladder in the diameter of 7～8 mm group was largest (17.0%), but no significant difference was found between the 7 groups (x2=0.54, P >0.05). A negative correlation was found between the rate of neoplastic polyps and the diameter of the PLG (r =0.24). In the group of neoplastic polyps of gallbladder, the solitary was 58 (58/78). In the diameter of > 10 mm group, the rate of solitary polyps was largest. In the group of cholesterol polyps of gallbladder, the solitary was 58(39/384). In the group of chronic inflammatory polyps of gallbladder, the solitary was 58(64/98). [Conclusions] A negative correlation was found between the rate of neoplastic polyps and the diameter of the PLG. Full attention should be given to PLG, The PLG of > 5 mm should be given microinvasive gallbladder-protected lithotomy as early as possible.关键词
胆囊息肉样病变/内镜/保胆/病理Key words
polypoid lesions of gallbladder/ endoscopy/ gallbladder-protected lithotomy/ pathology分类
医药卫生
