【摘要】 目的 总结内镜(纤维胆道镜)治疗胆囊息肉样病变的方法和经验。探讨良性胆囊息肉样病变保留胆囊的可行性。方法 回顾分析2003年1月～2004年8月18例胆囊息肉样病变患者行内镜微创治疗，并总结治疗方法及愈后效果。结果 18例患者4例术前有临床症状，术后均恢复正常，无其他并发症，术后病理无一例恶性报告。结论 内镜(纤维胆道镜)治疗胆囊息肉样病变保留了胆囊功能，有利于提高患者术后生活质量，减少术后并发症。

    【关键词】 内镜；微创；胆囊息肉样病

    Minimally invasive treatment with endoscopy for polypoid diseases of gallbladder:a report of 18 cases

    YUAN Lai-shun, GAO Qing-he, ZHOU Zheng-zhong.

    Datong Railway Central Hospital,Datong 037005,China

    【Abstract】 Objective To summarize methods and experiences of the treatment of polypoid diseases of gallbladder fibrocoledochos copy, and discuss the feasibility of the treatment of benign polypoid diseases of gallbladder without cutting cholecystectomy. Methods A retrospective analysis was made of which include eighteen cases of cystic polypoid diseases treated with minimally invasive surgery with endoscopy between January 2003 and August 2004. Treatment methods and prognosis of patients were summarized in this study. Results Symptoms of four patients in this group were catabatic. No complication took place in these patients. One lesion of these eighteen patients was diagnosed by pathology as malignant. Conclusion The function of gallbladder was preserved in these patients and the postoperative quality of life could be improved by using minimally invasive surgery with fibrocoledochoscopy, in the same time, less comlication took place than before. ......