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儿童胆囊息肉——超声检查中罕见的发现。

Gallbladder polyp in children - a rare finding during ultrasound examination.

作者信息

Yankov Ivan, Boyanov Nikola, Aleksova Lyubka, Ivanov Biser, Moshekov Evgeniy, Chatalbashev Dimitar, Stefanova Penka

机构信息

Department of Pediatrics and Medical Genetics, Medical University of Plovdiv, Bulgaria.

Department of Pediatric Gastroenterology, University Hospital "St. George", Plovdiv, Bulgaria.

出版信息

J Ultrason. 2022 Feb 8;22(88):e64-e66. doi: 10.15557/JoU.2022.0011. eCollection 2022 Mar.

DOI:10.15557/JoU.2022.0011
PMID:35449699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9009351/
Abstract

Gallbladder polyps are a relatively rare finding in children. The increased use of high-resolution ultrasound in childhood allows to detect gallbladder lesions in young patients. A precise diagnosis can be established using different imaging series. Abdominal contrast-enhanced ultrasound examination provides the most accurate imaging information about the nature and size of the lesion. This is important for further decisions regarding patient referral for cholecystectomy. The object of this study was to present a case of gallbladder polyp diagnosed and followed up by contrast-enhanced ultrasound.

摘要

胆囊息肉在儿童中是相对罕见的发现。儿童期高分辨率超声的使用增加使得能够在年轻患者中检测出胆囊病变。使用不同的影像学系列可以做出准确的诊断。腹部对比增强超声检查能提供有关病变性质和大小的最准确影像学信息。这对于进一步决定患者是否转诊进行胆囊切除术很重要。本研究的目的是呈现一例通过对比增强超声诊断并随访的胆囊息肉病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/881ab340b885/JoU-22-88-0011-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/5419ce352661/JoU-22-88-0011-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/d75a46c4072a/JoU-22-88-0011-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/ba5f04e687fc/JoU-22-88-0011-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/881ab340b885/JoU-22-88-0011-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/5419ce352661/JoU-22-88-0011-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/d75a46c4072a/JoU-22-88-0011-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/ba5f04e687fc/JoU-22-88-0011-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a24a/9009351/881ab340b885/JoU-22-88-0011-g004.jpg

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本文引用的文献

1
Meta-analysis of contrast-enhanced ultrasound and contrast-enhanced harmonic endoscopic ultrasound for the diagnosis of gallbladder malignancy.对比增强超声与对比增强谐波内镜超声诊断胆囊恶性肿瘤的荟萃分析。
BMC Med Inform Decis Mak. 2020 Sep 17;20(1):235. doi: 10.1186/s12911-020-01252-5.
2
Gallbladder Polyps: Rare Lesions in Childhood.胆囊息肉：儿童期罕见病变
J Pediatr Gastroenterol Nutr. 2019 Jun;68(6):e89-e93. doi: 10.1097/MPG.0000000000002269.
3
Value of contrast-enhanced ultrasound in the differential diagnosis of gallbladder lesion.
超声造影在胆囊病变鉴别诊断中的价值。
World J Gastroenterol. 2018 Feb 14;24(6):744-751. doi: 10.3748/wjg.v24.i6.744.
4
Management and follow-up of gallbladder polyps : Joint guidelines between the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery - European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE).胆囊息肉的管理与随访：欧洲胃肠与腹部放射学会（ESGAR）、欧洲内镜外科学会及其他介入技术学会（EAES）、国际消化外科学会 - 欧洲联合会（EFISDS）和欧洲胃肠内镜学会（ESGE）联合指南
Eur Radiol. 2017 Sep;27(9):3856-3866. doi: 10.1007/s00330-017-4742-y. Epub 2017 Feb 9.
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Marshall-Smith syndrome.马歇尔-史密斯综合征
J Perinatol. 2015 Apr;35(4):307-9. doi: 10.1038/jp.2014.224.
6
Decision for surgery in the management of a rare condition, childhood gallbladder polyps, and the role of ultrasonography.罕见病症——儿童胆囊息肉治疗中的手术决策及超声检查的作用
Turk J Gastroenterol. 2013;24(6):556-60.
7
Gallbladder polyp: A rare lesion in pediatric population.胆囊息肉：儿科人群中的罕见病变。
J Indian Assoc Pediatr Surg. 2013 Jan;18(1):36-7. doi: 10.4103/0971-9261.107018.
8
Ultrasonographically detected gallbladder polyps: a reason for concern? A seven-year follow-up study.超声检测出的胆囊息肉：需要担忧吗？一项七年随访研究。
BMC Gastroenterol. 2008 Sep 15;8:41. doi: 10.1186/1471-230X-8-41.
9
The natural history and significance of ultrasonographically defined polypoid lesions of the gallbladder in children.儿童胆囊超声定义的息肉样病变的自然病史及意义。
J Pediatr Surg. 2007 Nov;42(11):1907-12. doi: 10.1016/j.jpedsurg.2007.07.021.
10
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J Pediatr Surg. 2003 Nov;38(11):1680-4. doi: 10.1016/s0022-3468(03)00583-9.