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[胆囊胆固醇沉着症形态学表现及合并病变的定量分析]

[Quantitative analysis of morphological manifestations of cholesterosis and concomitant pathology of the gall bladder].

作者信息

Khomeriki S G, Orlova Iu N, Il'chenko A A, Chikunova B Z, Chekmazov I A, Morozov I A

出版信息

Arkh Patol. 2004 Sep-Oct;66(5):12-5.

Abstract

Morphological study of 345 cholecytectomies revealed gall bladder cholesterosis in 173 cases. Network form of cholesterosis was most frequent (73.8%), polyposis-network was in 18.5% and only 8.7% polypoid form of cholesterosis was found. The frequency was similar in males and females, the polypoid form prevailed in males, reticular form in females. Main site of cholesterosis was the gall bladder body. Combination of cholesterosis with cholelithiasis was in 151 cases (87.3%), adenomyomatosis occurred in 33 patients (19%). Cholesterol polyps were found in 47 patients, in 30 of them they were multiple. The size of cholesterol polyps varied from 2 to 17 mm. For the first time mixed glandual-cholesterol polyps are described. Morphological picture of xanthogranulomatous cholecystitis was in 7 patients. The morphological difference between foam and xanthome cells is presented.

摘要

对345例胆囊切除术的形态学研究显示,173例存在胆囊胆固醇沉着症。胆固醇沉着症的网状形态最为常见(73.8%),息肉样-网状形态占18.5%,仅发现8.7%的息肉样胆固醇沉着症。男性和女性的发生率相似,息肉样形态在男性中占优势,网状形态在女性中占优势。胆固醇沉着症的主要部位是胆囊体部。胆固醇沉着症与胆石症并存的有151例(87.3%),33例患者发生腺肌瘤病(19%)。47例患者发现胆固醇息肉,其中30例为多发。胆固醇息肉大小从2毫米至17毫米不等。首次描述了混合性腺瘤性-胆固醇息肉。7例患者呈现黄色肉芽肿性胆囊炎的形态学表现。呈现了泡沫细胞和黄色瘤细胞之间的形态学差异。

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