在不同儿科年龄组的胰腺胆道错位的临床表现和结果
Hui-Min Mao1, Shun-Gen Huang2, Yang Yang1
1Department of Radiology, Children's Hospital of Soochow University, No. 92 Zhongnan Street, Suzhou, China.
BMC pediatrics
|August 26, 2023
概括
胰腺胆道错位 (PBM) 在不同年龄段的儿童中呈现不同. 黄在婴儿中很常见,而年龄较大的儿童则经历腹痛和吐,这表明需要针对年龄的PBM管理.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
- 肝胆道疾病 肝胆道疾病
背景情况:
- 胰腺胆道缺陷 (PBM) 是一种与胰腺胆道和肝脏并发症相关的先天性缺陷.
- 据认为,PBM的临床表现在儿童和成人之间有所不同.
- 在不同儿科年龄组中对PBM存在有限的研究.
研究的目的:
- 评估儿科患者PBM的临床病理特征和结果.
- 分析与年龄相关的PBM表现和并发症的差异.
主要方法:
- 对166名儿科PBM患者的回顾性审查.
- 收集的数据:临床病理学,成像,实验室,手术和随访.
- 患者被分为三个年龄组:<1岁 (A组),1-3岁 (B组) 和>3岁 (C组).
主要成果:
- 黄是A组的主要症状;腹痛和吐在B组和C组.
- 在C组中,急性胰腺炎的发生频率更高.
- 与A组相比,C组的共同通道较长,普通胆道直径较小.
- 胆囊炎和胆囊炎在B组和C组更常见;肝纤维化在A组更常见.
- 血清氨酶升高在C组更为常见,而异常的肝功能测试在A组和B组中更为常见.
结论:
- 在不同儿科年龄组中,PBM的呈现有很大差异.
- 年龄特定的临床特征表明,需要针对儿童PBM量身定制的治疗策略.
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