专题研究(Monographic Study)

胆囊息肉的超声动态观察:附200例3年随访报告

Published at: 2016年第25卷第8期

吕文才 1 , 臧福波 2 , 谢静茹 2 , 贾莉 3 , 温爽 4 , 郎桂玲 1 , 王希春 1 , 孙尚韶 1 , 惠扬 1 , 于国峰 1 , 魏磊 1 , 付维利 1
1 辽宁省大连市友谊医院肝胆外科/大连市肝胆外科研究所,辽宁 大连 116001
2 辽宁省大连市友谊医院健康体检中心,辽宁 大连 116001
3 辽宁省大连市友谊医院超声诊断科,辽宁 大连 116001
4 辽宁省大连市友谊医院 病理科,辽宁 大连 116001
通讯作者 维利 付 Email: f1012582@sina.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2016.08.007
基金:

摘要

目的:探讨胆囊息肉样病变的自然演变过程,为其外科干预指征的把握提供参考。方法:收集3年内有连续超声资料的200例胆囊息肉样病变患者,分析其病变的大小、数目的超声影像学动态变化特点。结果:200例胆囊息肉样病变患者中,单发79例(39.5%),多发121例(60.5%);息肉直径≥5 mm 113例(56.5%,其中单发45例),<5 mm 87例(43.5%),无>1 cm者。在3年的随访中,息肉缩小8例,消失10例,不变161例,三者占总数的89.5%(179/200),息肉增大21例(10.5%),但均未超过1 cm;53例由单发息肉变为多发息肉,6例由多发息肉变为单发息肉。结论:绝大多数胆囊息肉样病变的生长非常缓慢,为良性病变,可定期随访观察,无需手术处理。


Ultrasonographic dynamic observation of gallbladder polyps: a report of 200 cases followed for 3 years

Abstract

Objective: To investigate the natural evolution process of polypoid lesion of the gallbladder, so as to provide a reference for determination of its indications for surgery. Methods: Two-hundred patients with polypoid lesions of the gallbladder who had consecutive ultrasonographic data within 3 years were collected. The ultrasonic characteristics of the changes in size and number of their lesions were analyzed. Results: Among the 200 patients with polypoid lesion, 79 cases (39.5%) had single lesion, and 121 cases (60.5%) multiple lesions. The diameter of lesion in 113 cases (56.5%, that included 45 cases with single lesion) was ≥5 mm, in 87 cases (43.5%) was <5 mm, and in none of them was >1 cm. During 3 years of follow-up, the lesions were found to be reduced in size in 8 cases, disappeared in 10 cases and unchanged in 161 cases, which accounted for 89.5% (179/200) of the whole group. The lesions were found to be enlarged in only 21 cases (10.5%), but no lesion was greater than 1 cm. Conclusion: The majority of polypoid lesions of the gallbladder grow very slowly and are benign lesions, and can be managed by regular follow-up with no need of surgical treatment.


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引用

引用本文: 文才 吕, 福波 臧, 静茹 谢, 莉 贾, 爽 温, 桂玲 郎, 希春 王, 尚韶 孙, 扬 惠, 国峰 于, 磊 魏, 维利 付. 胆囊息肉的超声动态观察:附200例3年随访报告 [J]. 中国普通外科杂志, 2016, 25(8): 1128-1132.
Cite this article as: LU Wencai, ZANG Fubo, XIE Jingru, JIA Li, WEN Shuang, LANG Guiling, WANG Xichun, SUN Shangshao, HUI Yang, YU Guofeng, WEI Lei, FU Weili . Ultrasonographic dynamic observation of gallbladder polyps: a report of 200 cases followed for 3 years [J]. Chin J Gen Surg, 2016, 25(8): 1128-1132.