临床肝胆病杂志2017，Vol.33Issue(2)：247-252,6.DOI:10.3969/j.issn.1001-5256.2017.02.007
黄色肉芽肿性胆囊炎的诊断和外科治疗
Diagnosis and surgical treatment of xanthogranulomatous cholecystitis
摘要
Abstract
Xanthogranulomatous cholecystitis (XGC) is a rare type of chronic cholecystitis characterized by severe proliferative fibrosis with infihration of macrophages and foamy cells in the gallbladder wall.Since XGC and gallbladder carcinoma have similar clinical manifestations and radiological features,XGC is often misdiagnosed as gallbladder carcinoma in clinical practice,which leads to unnecessary extensive surgical resection and has an adverse effect on patients.At present,the preoperative diagnosis of XGC is still based on imaging results (ultrasound,computed tomography,and magnetic resonance imaging),and a definite diagnosis of this disease relies on intraoperative frozen biopsy or postoperative pathological examination.Meanwhile,XGC should be differentiated from gallbladder adenomyomatosis,gallbladder carcinoma,and gallbladder actinomycosis.Laparotomy or laparoscopic cholecystectomy is the major method for the treatment of XGC,but laparoscopic cholecystectomy is associated with a longer time of operation,more complications,and a higher rate of conversion to laparotomy.Therefore,surgeons are facing difficulties in preoperative diagnosis and intraoperative decision-making process of XGC.关键词
胆囊炎/胆囊肿瘤/诊断,鉴别/胆囊切除术Key words
cholecystitis/gallbladder neoplasms/diagnosis, differential/cholecystectomy分类
医药卫生引用本文复制引用
李镇利,杨田..黄色肉芽肿性胆囊炎的诊断和外科治疗[J].临床肝胆病杂志,2017,33(2):247-252,6.基金项目
国家自然科学基金(81472284,81672699) （81472284,81672699）
上海市浦江人才计划(16PJD004) （16PJD004）
上海市青年拔尖人才计划 （）
