Analysis Of Gallbladder Cholesterol Polyps Related Characteristics And Surgical Indications Of Suspected Gallbladder Cholesterol Polyps

Objective Analysis of the relevant information of the gallbladder projective lesion(GPL） in surgical patients of the Affiliated Hospital of Ningxia Medical University from2002to2010，in order to reduce the ratio of the removal of the gallbladder polypsgallbladder cholesterol polyps (GCP) share. Methods Selected the gall bladder lesions whohas cholecystectomy in January2002~December2010at the Affiliated Hospital of NingxiaMedical University hospital,Classification of a variety of GPL in histological types of colorDoppler ultrasound morphological features,Induction of GCP unique color Dopplerultrasound characteristics，Analysis surgical indications of GCP which meet the unique colorDoppler ultrasound characteristics (ie, suspected GCP).Collected the relevant characteristicsof the tumor patients, analysis of the gallbladder elevated lesions in patients with surgicalindications.Result Selected708patients, color Doppler ultrasound signs of GCP as follows:lesions are multiple, maximum diameter <10mm, color Doppler ultrasound signs ofcholecystitis polyps are: the lesions were single, and the largest diameter <10mm,gallbladderadenomyosis by color Doppler signs as follows: the lesions are mostly single, maximumdiameter <15mm, color Doppler ultrasound signs of adenomatous polyps of the gallbladder:The lesions were single, and the largest diameter>10mm, color Doppler ultrasound signs ofgallbladderlesions: The lesions were single, and the largest diameter>15mm, color Dopplerultrasound signs of mixed polyps as: multiple, maximum diameter than10mm, The uniquecolor Doppler ultrasound in the preoperative signs of neoplastic polyps of the gallbladder showed: the lesions were single, and the maximum diameter>10mm.color Doppler ultrasoundsigns of GCP is different from other pathological types, as follows: lesionsare multiple,greatest diameter less than10mm, we define “color Doppler ultrasound prompted for theprone lesions and the largest by diameter <10mm” as Suspected gallbladder cholesterolpolyps(SGCP), the x2test, x2=54.811, P,=0.00<0.05，the results meaningful.208casessuspected in patients with gallbladder cholesterol polyps, the final pathological diagnosis of188cases of patients with cholesterol polyps, inflammatory polyps in nine cases, two cases ofgallbladder adenomyosis, three cases of adenomatous polyps, mixed polyps of6cases, nocases of gallbladder carcinoma found, in line with the color Doppler ultrasound examinationand pathological diagnosis was90.4%. Conclusion1.SGCP (color Doppler features are:multiple lesions, and the maximum diameter of <10mm),in principle, emphasis on nosurgical treatment, with obvious biliary colic should be treated surgically.2.Younger than60-year-old suspected gallbladder cholesterol polyps should be reviewed after3months,another six month review，then after every1-year review;Old than60-year-old suspectedgallbladder cholesterol polyps should be reviewed after3months after diagnosis, then after asix-monthly review.3.We believe that the following circumstances should be considered thesurgical treatment:(1)age>60years，Suspect that it was cancer patients;(2) single polyps,sessile or basal wide;(3) gallstones, cholecystitis, or gastrointestinal symptoms or ideologicalpressure affect the normal work life;(4) diameter>1cm, in particular,>1.5cm;(5) Bultrasonic echo weak or uneven echo;(6) lesions to increase significantly;(7) CDFI detectedblood flow signals.