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岭南现代临床外科 ›› 2013, Vol. 13 ›› Issue (03): 256-259.DOI: 10.3969/j.issn.1009-976X.2013.03.027

• 综述 • 上一篇    下一篇

胆囊息肉诊治的新进展

王浩 熊沛   

  1. 安徽医科大学
  • 通讯作者: 王浩

New progress in the diagnosis and treatment of gallbladder polyp

Wang Haoa,Xiong Pei   

  • Received:2013-02-17 Revised:2013-05-23 Online:2013-06-20 Published:2013-06-20

摘要:

【摘要】 随着B超等影像学技术的广泛普及,胆囊息肉样病变(PLG)检出率越来越高,已成为胆道外科的常见疾病。目前针对PLG的处理方式主要是手术治疗,而迄今又无有效的方法在手术前明确PLG的类型,因此使得临床上大部分无恶变倾向的PLG实施了不必要的预防性胆囊切除术。鉴于此,本文将对PLG与恶变关系等进行综述,系统地认识PLG及其恶变的危险因素,从而确定预防性胆囊切除的手术指征及临床意义。

关键词: 胆囊息肉样病变, 胆囊癌, 危险因素, 手术指征, 腹腔镜胆囊切除术

Abstract:

【Abstract】 With the wide popularity of B-ultrasonography imaging technology,.PLG detection rate is higher and higher, has become a common disease of biliary surgery. Currently on PLG treatment is mainly surgery, and so far no effective way to identify the nature of PLG before the surgery, thus makes the most patients without malignant change tendency of PLG imposed unnecessary cholecystectomy. In view of this, this article will to review the relationship of PLG and malignant transformation, and to understand the risk factors of PLG and its malignant transformation, so as to determine surgical indications of prophylactic cholecystectomy has a certain clinical significance.

Key words: Polypoid lesions of the gallbladder, Carcinoma of the gallbladder, Risk factors, Surgical indications, Laparoscopic cholecystectomy

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