摘要
胆囊腺肌增生症(adenomyomatosis of gallbladder,ADM)是胆囊的一种非炎症性、非肿瘤性增生性疾病,病因及发病机制尚不明确。随着超声的普及,ADM的检出率逐年升高,超声、CT、核磁共振成像(magnetic resonance imaging,MRI)等影像学检查的准确率有差异。ADM恶变倾向尚未明确,一部分学者倾向于预防性胆囊切除,也有一部分学者提出部分ADM可以定期随访观察,目前还未达成统一意见。本文对ADM的病因、发病机制和影像学特点进行文献总结。
Adenomyomatosis of gallbladder( ADM) is a non-inflammatory and non-neoplastic hyperplastic disease with unknown etiology and pathogenesis. With the wide spread use of ultrasonography,detective rate of ADM has increased recently.Ultrasonography,CT,MRI and so on have different correct diagnostic rates of adenomyomatosis. Whether it has malignant potential or not is controversial. Some research scholars recommended preventive cholecystectomy and some recommended a wait-and-see with careful ultrasonography during follow-up for partial ADM,which has not reached a consensus. This literature review focused on the etiology,pathogenesis,and imaging features of ADM.
出处
《中国微创外科杂志》
CSCD
北大核心
2016年第6期562-565,共4页
Chinese Journal of Minimally Invasive Surgery
基金
北京大学第三医院临床重点项目(项目编号:BYSY201207)
关键词
胆囊腺肌增生症
影像学诊断
腹腔镜胆囊切除术
Adenomyomatosis of gallbladder
Imaging examination
Laparoscopic cholecystectomy