胆囊息肉样病变的流行病学及危险因素

陈善鹏; 王智翔; 张小弟; 沈乃营; 魏志力

doi:10.3969/j.issn.1001-5256.2019.02.045

胆囊息肉样病变的流行病学及危险因素

DOI: 10.3969/j.issn.1001-5256.2019.02.045

西安医学院附属陕西省核工业二一五医院普通外科

详细信息

中图分类号: R575.6
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出版历程
- 收稿日期: 2018-08-22
- 出版日期: 2019-02-20

Epidemiology of polypoid lesions of the gallbladder and related risk factors

Department of General Surgery, 215 Hospital of Nuclear Industry Affiliated to Xi'an Medical University

摘要

摘要:
胆囊息肉样病变(PLG)临床常见,以非肿瘤性息肉为主,少部分为肿瘤性息肉。总结了PLG的流行病学及相关危险因素,提示PLG的发病是由性别、HBV感染、代谢综合征、内脏肥胖、低密度脂蛋白低水平、胆囊壁增厚、糖尿病等多种因素共同作用所致。随着PLG的发病率日趋升高,认为今后的研究重点应着眼于运用流行病学研究结果,对高危人群定期进行健康筛查,并对确诊患者进行规范化随访观察,发现并及早干预具有癌变可能的PLG。
- 胆囊疾病 /
- 息肉 /
- 流行病学 /
- 危险因素 /
- 综述
Abstract:
Polypoid lesions of the gallbladder ( PLG) is a common gallbladder disease in clinical practice. Most patients have non-adenomatous polyps, while adenomatous polyps are observed in a small number of patients. This article summarizes the epidemiology of PLG and related risk factors and points out that PLG is caused by the combined effect of various factors including sex, hepatitis B virus infection, metabolic syndrome, visceral obesity, a low level of low-density lipoprotein, gallbladder wall thickening, and diabetes. With the gradual increase in the incidence rate of PLG, epidemiological data should be used for health screening among the high-risk population, and standardized follow-up should be performed for patients with a confirmed diagnosis. PLG which may progress to cancer should be identified and intervention should be given as early as possible.
- gallbladder diseases /
- polyps /
- epidemiology /
- risk factors /
- review

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参考文献(21)

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