中国普通外科杂志2013，Vol.22Issue(8)：1016-1019,4.DOI:10.7659/j.issn.1005-6947.2013.08.012
胆囊胆固醇结石与胆固醇息肉的关系研究
Relationship between cholesterol gallstones and cholesterol polyps:a clinical study
摘要
Abstract
Objective:To investigate the relationship between cholesterol gallstones and cholesterol polyps.Methods:One hundred and seventy-two patients undergoing laparoscopic gallbladder-sparing surgery for gallbladder stones or polyps (more than 3 years after surgery) were selected by sampling.Of them,119 were gallbladder stone patients,39 were gallbladder polyp patients and 14 were gallbladder stone and polyp patients.The postoperative recurrences of stone and polyp of the patients were observed.Results:Of the 119 gallbladder stone patients,postoperative stone recurrence occurred in 24 cases,and no new polyp growth was noted.Of the 39 gallbladder polyp patients,postoperative polyp recurrence occurred in 3 cases and new stone formation was found in one patient.Of the 14 patients with gallbladder stones and polyps,postoperative polyp recurrence occurred in 2 cases,of whom,one case had simultaneous stonerecurrence.The difference in recurrence between gallbladder stones and gallbladder polyps had a statistical significance (P＜0.05).Condnsion:Cholesterol gallstones and cholesterol polyps may be mutually independent diseases of different pathogeneses.However,gallbladder polyps may probably influence cholesterol gallstone formation and cause relatively high postoperative stone recurrence by affecting the liquid state of the bile in the gallbladder,so preservation of the gallbladder is not recommended in surgical management for gallbladder stone patients presenting with gallbladder polyps.关键词
胆囊结石病/胆囊息肉/胆囊切除术,腹腔镜Key words
Cholecystolithiasis/ Gallbladder Polyps/ Cholecystectomy, Laparoscopic分类
医药卫生引用本文复制引用
荣万水,曾庆敏,吴建华,王延召,刘津灵,王云帆..胆囊胆固醇结石与胆固醇息肉的关系研究[J].中国普通外科杂志,2013,22(8):1016-1019,4.基金项目
北京市自然科学基金资助项目(7132081) （7132081）
北京市科学技术委员会资助项目(z131107002213103). （z131107002213103）
