儿童胆囊切除术:说明,临床,实验室和组织病理学发现以及成本分析
Aysel Ünlüsoy Aksu1, Nebiyye Genel2, Gülseren Şahin1
1Department of Pediatrics, Pediatric Gastroenterology, Hepatology and Nutrition, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara, Türkiye.
The Turkish journal of pediatrics
|October 10, 2024
概括
在接受胆囊切除术的儿童中,对胆囊的常规组织病理学检查提供了最小的诊断价值. 选择性检查可以降低医疗保健成本和病理学家的工作量,提高儿科外科护理的效率.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 胆囊病是儿童胆囊切除术的主要适应症.
- 对所有胆囊样本的常规组织病理学检查是标准实践.
- 由于成年人胆囊癌的发病率较低,建议进行选择性检查,促使儿童病例进行评估.
研究的目的:
- 评估儿科胆囊切除术中的指示,临床,实验室和组织病理学发现.
- 评估例行组织病理学检查在儿科诊断和治疗中的贡献和成本效益.
主要方法:
- 在2008年至2022年间,对114名接受胆囊切除术的儿童进行了回顾性分析.
- 评估临床,实验室,成像和组织病理学数据.
主要成果:
- 最常见的诊断是胆固醇 (71%),其次是胆固醇形 (15.8%).
- 显著的组织病理学发现很少见 (2.6%),包括腺肌瘤病,血管扩张和胆囊细胞扩张.
- 常规组织病理学成本仅占整体手术和最低工资的一小部分.
结论:
- 组织病理学检查对儿童胆囊切除术的诊断和管理提供了有限的贡献.
- 在儿童中选择性胆囊组织病理学检查可以降低医疗保健费用并节省病理学家的时间.
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