胆囊扭转：系统评价。
Torsion of the gallbladder: a systematic review.
机构信息
Hepatobiliary and Upper Gastrointestinal Surgery Unit, St Vincent's Hospital, Fitzroy, Vic, Australia.
出版信息
HPB (Oxford). 2012 Oct;14(10):669-72. doi: 10.1111/j.1477-2574.2012.00513.x. Epub 2012 Jul 3.
Abstract
BACKGROUND
Gallbladder torsion is a rare disease, predominantly affecting elderly women. It is an important differential in the acute surgical abdomen.
METHODS
A total of 324 published case reports of torsion of the gallbladder were reviewed. Features in diagnostic imaging suggestive of torsion were reviewed and summarized.
RESULTS
Gallbladder torsion is primarily a disease of elderly people; the median age at presentation is 77 years. It is more common amongst women, occurring at a female : male ratio of 4 : 1, although not in childhood, when it occurs at a male : female ratio of 2.5 : 1.
CONCLUSIONS
Improved imaging techniques within the last 20 years have enabled the preoperative diagnosis of one quarter of patients with gallbladder torsion. With prompt surgical intervention, the condition has an excellent prognosis.
摘要
背景
胆囊扭转是一种罕见的疾病，主要影响老年妇女。它是急性外科腹痛的一个重要鉴别诊断。
方法
回顾了 324 篇已发表的胆囊扭转病例报告。回顾并总结了提示扭转的诊断影像学特征。
结果
胆囊扭转主要发生在老年人中；发病时的中位年龄为 77 岁。它在女性中更为常见，男女比例为 4:1，但在儿童中并非如此，其男女比例为 2.5:1。
结论
在过去 20 年中，影像学技术的进步使得四分之一的胆囊扭转患者能够得到术前诊断。通过及时的手术干预，这种疾病的预后非常好。
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