胆系运动障碍：事实还是虚构？
Biliary Dyskinesia: Fact or fiction?
机构信息
University at Buffalo Jacobs School of Medicine and Biomedical Sciences, 818 Ellicott St, Buffalo, New York, 14203, USA.
Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, 818 Ellicott St, Buffalo, New York, 14203, USA; Department of Pediatric Surgery, John R. Oishei Children's Hospital, 818 Ellicott St, Buffalo, New York, 14203, USA.
出版信息
Semin Pediatr Surg. 2020 Aug;29(4):150947. doi: 10.1016/j.sempedsurg.2020.150947. Epub 2020 Jul 23.
Nearly 20,000 pediatric patients undergo cholecystectomy annually, and abnormal gallbladder emptying ("biliary dyskinesia") has replaced cholelithiasis as the leading indication for this operation in the USA. Nonetheless, patients with abnormal gallbladder emptying nuclear medicine scans do not uniformly benefit from cholecystectomy. This article reviews the available data on presentation, workup and treatment of patients with abnormally low and high rates of gallbladder emptying.
每年有近 20,000 名儿科患者接受胆囊切除术，在美国，异常胆囊排空（“胆功能不良”）已取代胆石症成为该手术的主要指征。尽管如此，胆囊排空核医学扫描异常的患者并非都能从胆囊切除术中受益。本文回顾了有关胆囊排空率异常低和高的患者的临床表现、检查和治疗的现有数据。
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