【摘要】 目的:通过回顾性分析223例黄色肉芽肿性胆囊炎(XGC)的临床资料,探讨XGC的临床特点和诊治要点,为临床工作提供必要的帮助。方法:对我院2008年1月—2013年10月通过病理证实为黄色肉芽肿性胆囊炎的临床资料进行回顾性分析。结果:所有病例均痊愈出院。男女比例为1∶1.1,平均发病年龄(59.8±14.0)岁,胆囊壁厚平均(0.6±0.3)cm,CA199平均(153.2±152.0)U/m L,经CT检查仅2例确诊为黄色肉芽肿性胆囊炎。术后随访未见并发症出现。结论:黄色肉芽肿性胆囊炎术前及术中难以确诊,术中冰冻切片检查和术后病理检查是诊断的关键,胆囊切除术是主要治疗方法,且效果良好。更多还原

【Abstract】 Objective To explore diagnosis and treatment for Xanthogranulomatous cholecystitis(XGC)af-ter retrospective analysis 223 cases of XGC.MethodsData of 223 cases of XGC confirmed by pathologyour hospital.ResultsAll cases recovered. The sexratio of male to female was 1∶1.1, the average age was(59.8±14.0) years, the average thickness of gallbladder wall was(0.6±0.3) cm, the average CA199 was(153.2±152.0) U/m L, and only 2 cases of XGC were diagnosed by CT examination. No complications showed in postop-erative follow-upConclusionXGC was difficult to diagnose preoperatively and intraoperatively,frozen sec-tion examination and postoperative pathologic examination were the key to diagnosis. Cholecystectomy is themain treatment method of XGC and the clinic outcome is optimistic.更多还原