【摘要】 目的  探讨黄色肉芽肿性胆囊炎的诊断与治疗，提高对该疾病的认识及诊治水平。 方法  对2004年9月-2009年10月确诊为黄色肉芽肿性胆囊炎的15例患者资料进行回顾性分析。 结果  确诊为黄色肉芽肿性胆囊炎3例，慢性胆囊炎8例，胆囊癌4例。10例行胆囊切除术，2例行胆囊切除加胆总管探查T管引流术，1例行胆囊大部切除加十二指肠瘘修补术，1例行胆囊大部切除加胃瘘修补术，1例行胆囊切除加胆囊床部肝组织切除。术后并发胆瘘1例，切口感染2例。无死亡病例。 结论  黄色肉芽肿性胆囊炎术前难诊断，术中冷冻切片检查和术后病理检查是诊断的关键，手术切除胆囊是主要治疗方法。
【Abstract】 Objective  To evaluate the clinical diagnosis and treatment of xanthogranulomatous cholecystitis. Methods  The clinical data of 15 patients with xanthogranulomatous cholecystitis treated in our hospital from September 2004 to October 2009 were retrospectively analyzed. Results  All of 15 patients were diagnosed as xanthogranulomatous cholecystitis through postoperative pathologic examination, including 3 were diagnosed as xanthogranulomatous cholecystitis, 8 were diagnosed as chronic cholecystitis, and 4 were diagnosed as gallbladder carcinoma. All patients underwent the operations including cholecystectomy in 10, cholecystectomy plus choledochojejunostomy and T tube drainage in 2, gallbladder subtotal plus duodenal fistula in 1, gallbladder subtotal resection of gastric fistula in 1, and cholecystectomy plus the department of the gallbladder bed resection of liver tissue in 1. The postoperative complications included biliary fistula in 1 case and wound infection in 2 cases;no deaths were found. Conclusion  Xanthogranulomatous cholecystitis is difficult to diagnose before the operations. The keys of the diagnosis are the intraoperative frozen section examination and postoperative pathologic examination. Cholecystectomy is the main operation for xanthogranulomatous cholecystitis.

Citation： XIAO Changwu,QIU Rong,ZHANG Wei,Li Ning. Analysis of the Clinical diagnosis and Treatment of Xanthogranulomatous Cholecystitis. West China Medical Journal, 2010, 25(9): 1644-1645. doi: Copy