中国实用外科杂志2025，Vol.45Issue(11)：1260-1263,4.DOI:10.19538/j.cjps.issn1005-2208.2025.11.10
胆囊息肉样病变诊治策略争议与共识
Consensus and controversies in the diagnosis and management strategies of polypoid lesions of gallbladder
摘要
Abstract
Polypoid lesions of gallbladder(PLG)are common benign gallbladder diseases.Although current domestic and international guidelines have reached consensus on using ultrasonography as the primary diagnostic approach,stratification of malignant risk,and generally adopting a diameter of ≥10 mm as the basic surgical threshold,certain controversies persist regarding the definition of surgical indications and follow-up management strategies.Problems and challenges include difficulties in preoperative differentiation,unclear management of low-risk polyps,and potential unnecessary surgeries.Currently,individualized assessment has become key to balancing"over-treatment"and"missed diagnosis of malignancy,"necessitating dynamic monitoring and intervention based on risk stratification to enhance the precision of PLG diagnosis,treatment,and follow-up management.With advancements in technologies such as artificial intelligence,the precision medicine system for PLG is expected to be progressively refined in the future.关键词
胆囊息肉样病变/手术指征/个体化诊疗/争议/共识Key words
polypoid lesions of gallbladder/surgical indica-tions/personalized management/controversies/consensus分类
医药卫生引用本文复制引用
LI Qi,DOU Ming-hui,ZHANG Dong,GENG Zhi-min..胆囊息肉样病变诊治策略争议与共识[J].中国实用外科杂志,2025,45(11):1260-1263,4.基金项目
国家自然科学基金项目(No.62576271,No.62076194) （No.62576271,No.62076194）
陕西省重点研发计划项目(No.2025SF-YBXM-386,No.2022-SF-606) National Natural Science Foundation of China(No.62576271,No.62076194) （No.2025SF-YBXM-386,No.2022-SF-606）
Key Research and Development Program of Shaanxi Province(No.2025SF-YBXM-386,No.2022-SF-606) （No.2025SF-YBXM-386,No.2022-SF-606）
