胆囊息肉是胆囊炎吗
Nov 04, 2025
Source: Cainiu Health
Introduction
Gallbladder polyps are nodules formed by abnormal tissue proliferation. Most polyps are small, asymptomatic, and do not cause inflammation of the gallbladder mucosa; they are often detected incidentally during routine examinations, and in such cases, there is no direct association with cholecystitis. However, when polyps are large in size, numerous, or located close to the neck of the gallbladder, they may obstruct the cystic duct and impair bile drainage.
通常情况下,胆囊息肉和胆囊炎是两种不同Disease,多数胆囊息肉不会伴随胆囊炎;但部分息肉可能诱发或合并胆囊炎。如有疑虑,Recommendation提前就医咨询。具体分析如下:

胆囊息肉是胆囊壁向腔内突出的隆起性病变,本质是组织异常增生形成的结节。多数息肉体积小、无明显Symptoms,不会引发胆囊黏膜炎症,仅在Physical Examination时被发现,这类情况与胆囊炎无直接关联,两者病理基础和表现完全不同。
当息肉体积较大、数量较多,或息肉位置靠近胆囊颈时,可能堵塞胆囊管影响胆汁排出,或刺激胆囊壁引发慢性炎症。此外,息肉合并胆结石、胆汁淤积时,也易诱发胆囊炎,表现为腹痛、腹胀、恶心等Symptoms,这类情况属于两者并存,息肉成为胆囊炎的诱因之一。
发现胆囊息肉后需定期复查,监测大小、形态变化;若出现腹痛、发热等炎症Symptoms,及时就医Examination是否合并胆囊炎;息肉持续增大或伴随炎症反复时,遵医嘱评估Treatment方案,不要混淆两种Disease的诊疗逻辑。