397例胆囊息肉样病变超声的诊断价值及随访结果.docVIP

397例胆囊息肉样病变超声的诊断价值及随访结果[1].txt再过几十年，我们来相会，送到火葬场，全部烧成灰，你一堆，我一堆，谁也不认识谁，全部送到农村做化肥。.. 临床论著.. 397例胆囊息肉样病变超声的诊断价值及随访结果 刁其先.. 王廷刚.. 刘.. 泳 .. 王.. 野 (青岛海慈医疗集团普外科, 青岛.. 266033 ) .. .. !摘要... 目的.. 评估超声检查发现的胆囊息肉样病变( po lypo id lesions of the ga llbladde r, PLG) 的病理类型和自然病程, 为 合理处理PLG提供临床依据。.. 方法.. 回顾分析我院1996~ 2008年397例超声检查发现的PLG的临床资料( 不包括可疑胆 囊癌患者), 分析接受胆囊切除术患者病变的病理类型, 随访患者息肉大小和数量的变化。.. 结果.. 随访120例, 中位时间21 个月( 3~ 81个月), 7例息肉继续增长(息肉直径增大3~ 6 mm, 平均3. 5 mm ), 103例息肉无变化, 10例息肉变小或消失。80 例接受胆囊切除者中, 26例( 32. 5% )未见明确息肉(正常胆囊9例, 慢性胆囊炎8例, 胆石病9例); 46例( 57. 5% )为非肿瘤 性息肉( 胆固醇性息肉33例, 炎性息肉3例, 腺肌瘤样增生10例) ; 腺瘤8例( 10. 0% ), 其中1例息肉直径14 mm 手术标本中 发现原位癌。1例原位癌随访1年, 无肿瘤复发及转移。.. 结论.. 超声检查发现的病变直径# 10 mm 的PLG 很少有伴随症 状, 无癌变患者可继续观察。 !关键词... 胆囊息肉样病变; .. 超声检查; .. 胆囊切除术 .. .. 中图分类号: R657. 4.. .. .. .. 文献标识: A.. .. .. .. 文章编号: 1009- 6604( 2010) 06- 0530- 03 Value of U ltrasonography for the D iagnosis of Polypoid Lesion of the Ga llbladder: R eport of 397 Case s w ith Fo llow..up D ata D iao Q ix ian* , Wang Tinggang* , L iu Yong, et al. * D ep ar tm ent of Surgery, H aiciH osp ital, Qingdao 266033, Ch ina !Abstract. .. Objective.. To assess the na tura l h isto ry and h isto log ica l character istics o f ultrasonog raphy..detected po lypoid lesions o f the gallb ladder ( PLG), so that to prov ide a gu idance o f the clin ica l d iagnosis and treatm ent of the d iseases. .. Me thods Re tro spective research was m ade on 397 pa tients w ith PLG de tected by abdom ina l u ltrasonog raphy from 1996 to 2008 in our hosp ita.l Pa tients w ith infiltrative m asses susp ic ious for gallb ladder cance r were exc luded from th is study. In pa tients who underw ent cholecystectom y, h isto log ica l findings were ana lyzed, and the change in po lyp s ize w as dete rm ined in patients who underw en t ser ia l u ltrasonography im ag ing. .. R esults.. To ta lly 120 pa tien ts achiev ed a med ium o f 21 m onths fo llow..up ( ranged from 3 to 81 m on ths), during the per iod, 7 cases had the po lyps increased by 3