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相關文獻
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頁籤選單縮合
題 名 | Adenomyomatosis of the Gallbladder=膽囊肌腺瘤症 |
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作 者 | 楊文固; 王聖賢; 翁郁中; 蔡世豪; 陳俊嘉; 姜仁惠; 蘇正熙; 李發耀; 李壽東; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:1 1996.07[民85.07] |
頁 次 | 頁12-17 |
分類號 | 416.247 |
關鍵詞 | 膽囊肌腺瘤症; 電腦斷層; 膽囊; 膽結石; 超音波; Adenomyomatosis; Computed tomography; Gallbladder; Gallstone; Sonography; |
語 文 | 英文(English) |
中文摘要 | 背景 中國病患的膽囊肌腺瘤症,以前很少人研究過。 方法 我們回顧性分析五年中本院十八位膽囊肌腺瘤症病患的臨床、放射線及 病理學上的特徵。 結果 根據膽囊肌腺瘤症侵犯的部位,傳統上將此症分成三型:局部型、分節 型及瀰散型。十八位患者中,有十七位是局部型(十五位在膽囊基底,兩位在膽 囊頸),一位是瀰散型,但是沒有分節型。十八位患者中,只有五位有超音波上 的異常。這五位患者中,只有兩位在手術前正確診斷為膽囊肌腺瘤症。生化檢 驗無法找出與膽囊肌腺瘤症之相關性。臨床表徵分析,發現有十一位患者的臨 床表徵,與合併發生的其他疾病無關聯性。此十一位患者中,有九位有膽結石, 兩位無膽結石,他們都有右上腹、上腹痛、或消化不良的症狀。十一位患者的 症狀,包含兩位無膽結石之膽囊肌腺瘤症患者,都在接受膽囊切除術後,得到 解除。 結論 膽囊肌腺瘤症患者,有些會有症狀,這些症狀,可藉膽囊切除術解除。 對於一些膽囊肌腺瘤症患者合併右上腹痛,而找不出其他可能原因時,膽囊切 除術也許是有幫助的。本分析中,國人此症之正確診斷率很低。這一點,值得 臨床醫師提高警覺。 |
英文摘要 | Background. Adenomyomatosis of the gallbladder in Chinese patients has rarely been analyzed. Methods. The clinical, radiological and pathological features of 18 patients with histologically-proven adenomyomatosis, collected during a 5-year period, were retrospectively analyzed. Results. According to the extent and site of involvement, adenomyomatosis of the gallbladder was conventionally classified into three types: localized, generalized and segmental. In our series, the disease was localized in 17 patients (15 in the fundus and 2 in the neck), generalized in one patient and segmental in none. Only 5 patients showed sonographic features correlative to pathologic findings, and 2 of them were correctly diagnosed before operation. Only mild nonspecific abnormalities of liver function test or urine analysis were noted in some patients with gallbladder adenomyomatosis. The clinical manifestations were not related to coincidental diseases in 11 patients. All these 11 patients, with gallstone in 9 and without in 2, complained of epigastralgia, right upper quadrant abdominal pain or dyspepsia, which relieved all after cholecystectomy. Conclusions. Some patients with adenomyomatosis may be symptomatic and relieved by cholecystectomy. In patients with adenomyomatosis of the gallbladder and right upper quadrant pain of abdomen without other explanation, cholecystectomy may be considered. Infrequent accurate diagnosis in Chinese patients calls for a high suspicion of the disease entity in clinical practice. |
本系統中英文摘要資訊取自各篇刊載內容。