文章摘要

胆囊息肉的超声动态观察：附200例3年随访报告

作者: 1吕文才, 2臧福波, 2谢静茹, 3贾莉, 4温爽, 1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 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: 付维利 Email: f1012582@sina.com
DOI: 10.3978/.10.3978/j.issn.1005-6947.2016.08.007

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。
关键词： 胆囊 息肉 超声检查 随访研究

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

Authors: 1LU Wencai, 2ZANG Fubo, 2XIE Jingru, 3JIA Li, 4WEN Shuang, 1LANG Guiling, 1WANG Xichun, 1SUN Shangshao, 1HUI Yang, 1YU Guofeng, 1WEI Lei, 1FU Weili
1 Department of Hepatobiliary Surgery/Dalian Research Institute of Hepatobiliary Surgery, Dalian Friendship Hospital, Dalian 116001, China
2 Physical Examination Center, Dalian Friendship Hospital, Dalian 116001, China
3 Department of Ultrasonography, Dalian Friendship Hospital, Dalian 116001, China
4 Department of Pathology, Dalian Friendship Hospital, Dalian 116001, China

CorrespondingAuthor:FU Weili Email: f1012582@sina.com

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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