文章目录一、胆囊腺瘤是什么病二、胆囊腺瘤的治疗三、 胆囊腺瘤的检查胆囊腺瘤是什么病1、胆囊腺瘤是什么病胆囊腺瘤多为单发,有蒂息肉,外形可呈乳头状或非乳头状 ,恶变率约30%,癌变机会与腺瘤大小呈正相关,是胆囊最常见的良性肿瘤,女性比较多见,男女之比约2: 7,大多数为单发,少数多发,可发生在胆囊的任何部位,部分病例同时伴有胆囊结石,单纯。
What disease is gallbladder adenoma? What disease is gallbladder adenoma? What disease is gallbladder adenoma? What disease is gallbladder adenoma? What disease is gallbladder adenoma? Gallbladder adenoma is a single, pedicled polyp. Its shape can be papillary or non papillary. The malignant transformation rate is about 30%. The chance of canceration is positively correlated with the size of the adenoma. It is the most common benign tumor of the gallbladder, which is more common in women, The ratio of male to female is about 2:7. Most of them are single and a few are multiple. They can occur in any part of the gallbladder, and some cases are accompanied by gallstone.
2. The pathogenesis and pathophysiology of gallbladder adenoma are similar to that of polypoid lesions of gallbladder. There are two genes, K-ras and g-ras, in normal human bile cells. Under normal circumstances, these two genes are in a relative balance state. When the body resistance decreases, the ability of immune cells to monitor the two genes is decreased, In addition to cholecystitis and abnormal cholesterol metabolism and other incentives, gene mutation, so that gallbladder wall cells have an abnormal proliferation phenomenon, and to the gallbladder cavity growth of vegetation, namely gallbladder adenoma.
Other symptoms, including dyspepsia, occasional nausea and vomiting, are often found during health checks or population surveys.
Most patients have no obvious signs, some of them may have deep tenderness on the right upper abdomen. If there is obstruction of cystic duct, the enlarged gallbladder can be palpated.
The treatment of gallbladder adenoma 1. Gallbladder adenoma can be single or multiple, with a diameter of 0.5 ~ 2.0 cm, and even can fill the whole gallbladder. The surface of the adenoma can be broken, bleeding, necrosis, infection. The malignant transformation rate of gallbladder adenoma is 1.5%. It has always been recognized as the precancerous lesion of gallbladder cancer. Once diagnosed, it should be resected.
2. There are two types: neoplastic polypoid lesions, including adenoma and adenocarcinoma.
In addition, such as hemangioma, lipoma, leiomyoma, neurofibroma and so on are rare.
Most of the non neoplastic polypoid lesions are of this type.
In addition, adenomatous hyperplasia, xanthogranuloma, ectopic gastric mucosa or pancreatic tissue are rare.
3. The principle of treatment for polypoid lesions of gallbladder is that the benign patients can be followed up regularly, and then the treatment decision can be made according to the development of the disease.
Therefore, the patients with polypoid lesions larger than LCM, especially those with single lesion and wide pedicle; those with rapid enlargement in a short time; those with gallstone or obvious clinical symptoms; those suspected of malignant transformation or malignant lesions by imaging examination should be treated with cholecystectomy, while those with gallbladder cancer should be treated as gallbladder carcinoma.
It is often necessary to understand the following points according to the imaging findings.
The number and multiple lesions were usually non neoplastic polypoid lesions such as cholesterol polyps. Adenoma or pain were mostly solitary.
Patients with symptoms should be treated with surgery.
文章目录一、胆囊腺瘤是什么病二、胆囊腺瘤的治疗三、 胆囊腺瘤的检查胆囊腺瘤是什么病1、胆囊腺瘤是什么病胆囊腺瘤多为单发,有蒂息肉,外形可呈乳头状或非乳头状 ,恶变率约
其他需要注意的人群包括乙肝患者、糖尿病患者和有胆囊结石的病人。Other people who need attention include patients with hepatitis B, diabetes and patients with gall
不要一开始就大剂量进行。Don't start with large doses.注意施灸温度,对于皮肤感觉迟钝者或小儿,操作者可以用食指和中指置于施灸部位两侧,以感知施灸部位的温度,做到既不
生胃酮,能促使胃黏膜分泌黏液,从而保护胃黏膜。Shengwei ketone can promote the secretion of mucus in gastric mucosa, thus protecting gastric mucosa.吉福士,有保护胃
另外还有一些能够活跃人体微循环的药物也可以用于黄疸肝炎的治疗。In addition, some drugs that can activate the microcirculation of the human body can also be used
文章目录一、胆结石可以吃樱桃吗1. 胆结石可以吃樱桃吗2. 胆结石患者的饮食要注意什么3. 如何正确预防胆结石二、胆结石患者的护理措施是什么三、胆结石应该怎么治疗好胆结
只有手术是唯一的治疗方法。Surgery is the only treatment.2、胆囊息肉的症状有哪些2.1、胆囊息肉一般没有症状,大多数胆囊息肉患者都是在例行体检中被检查出患有本病。2.
部分单发或多发的胆囊结石,在胆囊内自由存在,不易发生嵌顿,很少产生症状,被称为无症状胆囊结石。Some single or multiple cholecystolithiasis, free in the gallbladder,
2、胆囊肿可以进行外科手术治疗急性胆囊炎的治疗包括一般治疗卧床休息,给易消化的流质饮食,忌油腻食物,严重者禁食,胃肠减压,静脉补充营养,水及电解质。2. Cholecystoma can
医学上称为脂肪性腹泻。It is called fatty diarrhea in medicine.由于肠道内缺乏胆汁或胆汁量减少,使维生素k吸收不足,影响了人体中凝血因子的形成,这样就会发生出血倾向。