【摘要】 目的:探讨胆囊息肉样病变(PLG)的临床特点、病理特征及手术指征。方法:对病理诊断的胆囊息肉样病变10 4例进行回顾性分析。结果:胆囊息肉样病变好发于中青年,临床上无特异性症状。胆固醇息肉为最常见的胆囊息肉样病变,表现为多发,平均直径<5mm ;腺瘤性息肉倾向于单发,直径>10mm。结论:单发、年龄>5 0岁、直径>10mm或合并结石的PLG ,应行外科手术治疗;直径<10mm但有明显临床症状、影响工作生活者可考虑手术治疗;对无症状者可定期B超随访更多还原

【Abstract】 Objective:To investigate the clinical characteristics,pathological features and surgical indications of polypoid lesions of gallbladder(PLG).Methods:One hundred and four cases of PLG confirmed by pathological examination were analyzed retrospectively.Results:PLG were more frequently found in middle aged people.They presented no special clinical features.Cholesterol PLG was the most common PLG.Most Cholesterol PLG was multiple foci with a mean diameter of <5 mm,while adenomas PLG presented single focus with a mean diameter of >10 mm.Conclusions:The patients older than 50 years with single polyp lesion or complicated with gallbladder stone should resort to surgical treatment.Patients with obvious clinical symptoms which have influenced their normal lives should receive surgical intervention.Patients with no symptoms should be followed up periodically.更多还原