黄色肉芽肿性胆囊炎223例诊治分析

摘要

目的：通过回顾性分析223例黄色肉芽肿性胆囊炎(XGC)的临床资料，探讨XGC的临床特点和诊治要点，为临床工作提供必要的帮助。方法：对我院2008年1月—2013年10月通过病理证实为黄色肉芽肿性胆囊炎的临床资料进行回顾性分析。结果：所有病例均痊愈出院。男女比例为1∶1.1，平均发病年龄（59.8±14.0）岁，胆囊壁厚平均（0.6±0.3）cm，CA199平均（153.2±152.0）U/mL，经CT检查仅2例确诊为黄色肉芽肿性胆囊炎。术后随访未见并发症出现。结论：黄色肉芽肿性胆囊炎术前及术中难以确诊，术中冰冻切片检查和术后病理检查是诊断的关键，胆囊切除术是主要治疗方法，且效果良好。%Objective To explore diagnosis and treatment for Xanthogranulomatous cholecystitis(XGC)af⁃ter retrospective analysis 223 cases of XGC. Methods Data of 223 cases of XGC confirmed by pathology were analyzed retrospectively from 2008 to 2013 in our hospital. Results All cases recovered. The sex ratio of male to female was 1∶1.1, the average age was (59.8 ± 14.0) years, the average thickness of gallbladder wall was (0.6 ± 0.3) cm, the average CA199 was (153.2 ± 152.0) U/mL, and only 2 cases of XGC were diagnosed by CT examination. No complications showed in postop⁃erative follow-up Conclusion XGC was difficult to diagnose preoperatively and intraoperatively,frozen sec⁃tion examination and postoperative pathologic examination were the key to diagnosis. Cholecystectomy is the main treatment method of XGC and the clinic outcome is optimistic.