Jørgensen T, Jensen K H
Glostrup Population Studies, Dept. of Internal Medicine C, Glostrup Hospital, Denmark.
Scand J Gastroenterol. 1990 Mar;25(3):281-6.
The prevalence of gallbladder polyps as assessed by ultrasonography in a random population was 4.6% among men and 4.3% among women. The size of most polyps was 3 mm or more but never exceeded 10 mm. The prevalence of polyps was not significantly associated with age, sex, social factors, weight factors, physical activity, diabetes mellitus, pregnancies, use of exogenous female hormones, intake of alcohol, or plasma lipids. Polyps among men were significantly associated with a history of no smoking. This lack of risk factor profile resembled that of cholesterolosis, as seen in the literature, whereas it was quite different from that of gallstones. It is concluded that polyps in the gallbladder are common in a random population, and, although it is known from the literature that some cases may represent gallstones, the vast majority most probably represent the polypoid variation of cholesterolosis.
通过超声检查评估,在随机人群中,胆囊息肉的患病率男性为4.6%,女性为4.3%。大多数息肉大小为3毫米或更大,但从未超过10毫米。息肉的患病率与年龄、性别、社会因素、体重因素、身体活动、糖尿病、妊娠、外源性女性激素的使用、酒精摄入或血脂均无显著关联。男性中的息肉与不吸烟史显著相关。这种缺乏危险因素的情况与文献中所见的胆固醇沉着症相似,而与胆结石的情况截然不同。结论是,胆囊息肉在随机人群中很常见,虽然从文献中可知有些病例可能代表胆结石,但绝大多数很可能代表胆固醇沉着症的息肉样变异。