摘要
目的探讨内镜微创保胆术中胆囊息肉的直径、病理特点及临床意义。方法根据息肉的大小将息肉分为<5mm、5～6mm、6～7mm、7～8mm、8～9mm、9～10mm及>10mm息肉组,对各组的病理类型、单发还是多发进行分析,并将胆囊息肉分为胆固醇息肉、炎性息肉和腺瘤样息肉,分析各组中各种息肉所占的比率。结果 560枚胆囊息肉中,胆固醇息肉、炎性息肉和腺瘤样息肉所占的比率分别为68.6%(384/560)、17.5%(98/560)和13.9%(78/560)。在息肉直径<5mm、5～6mm、6～7mm、7～8mm、8～9mm、9～10mm及>10mm组,腺瘤样息肉分别为5枚(5/49)、10枚(10/82)、8枚(8/74)、18枚(18/106)、13枚(13/92)、11枚(11/72)、13枚(13/85)。各组胆囊息肉相比,7～8mm的息肉中腺瘤样息肉所占的比率相对较大,但差异无显著性(χ2=0.54,P>0.05)。胆囊腺瘤样息肉的比率与胆囊息肉的直径无明显相关(r=0.24)。在腺瘤样胆囊息肉中,单发58枚(58/78),>10mm的息肉以单发息肉居多;在胆固醇息肉中,单发39枚(39/384);在炎性息肉中,单发64枚(64/98)。结论胆囊腺瘤样息肉的比率与胆囊息肉的直径无明显相关,所以发现胆囊息肉后应引起足够重视,>5mm的胆囊息肉应尽早内镜下治疗。
[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（χ2=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.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第4期387-390,共4页
China Journal of Endoscopy
关键词
胆囊息肉样病变
内镜
保胆
病理
polypoid lesions of gallbladder
endoscopy
gallbladder-protected lithotomy
pathology
作者简介
[通信作者]李全福，E-majl：liquanfu1968@126．com，电话：15603212937
