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本文总结了胆囊良性肿瘤及瘤样病变40例,其中管状腺瘤2例,纤维瘤2例,平滑肌瘤1例,胆固醇息肉27例,炎性息肉8例。多数病例有典型的慢性胆囊炎临床表现,B超、CT提示胆囊内赘生物,经手术和病理学检查可以确诊,本组病例均行胆囊切除术而治愈。笔者体会凡B超、CT提示胆囊赘生物并有症状或赘生物直径>1.0cm,一般应行切除胆囊,对全身情况差、赘生物<1.0cm,或症状轻微者,可定期B超或CT随访观察。
This article summarizes the gallbladder benign tumors and tumor-like lesions in 40 cases, of which 2 cases of tubular adenoma, 2 cases of fibroids, 1 case of leiomyoma, 27 cases of cholesterol polyps, 8 cases of inflammatory polyps. Most cases have a typical clinical manifestations of chronic cholecystitis, B-, CT tips gallbladder neoplasms, surgery and pathological examination can be diagnosed, this group of patients undergoing cholecystectomy and cure. I appreciate where B-, CT tips gallbladder neoplasms and symptoms or neoplasm diameter> 1.0cm, the general should be removed gallbladder, the general condition is poor, neoplasms <1.0cm, or mild symptoms may be regular B-ultrasound or CT Follow-up observation.