综合性综述:宫外胆囊的类型,临床表现,诊断和外科治疗
Muhamad Zakaria Brimo Alsaman1, Syed Muhammad Ali2,3,4, Mohammad Nour Kitaz1,5
1Faculty of Medicine, University of Aleppo, Aleppo, Syria.
International journal of surgery (London, England)
|September 24, 2025
概括
宫外胆囊 (EGB) 是一种罕见的疾病,表现不同. 左侧EGB是最常见的,通常在手术期间诊断出来,腹腔镜胆囊切除术是首选的治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 手术解剖学手术解剖学
- 医疗成像医学成像
背景情况:
- 宫外胆囊 (EGB) 是一种罕见的先天性异常,胆囊位于异常的解剖位置.
- EGB可以表现在各种位置,包括左侧,肝内,肝上,横向和逆位.
- 虽然EGB通常无症状,但可能导致腹痛,恶心和吐等症状,特别是与胆囊病理相关联时.
研究的目的:
- 提供关于子宫外胆囊 (EGB) 的全面审查.
- 概述EGB类型,胚胎起源,相关综合征,诊断方法和管理建议.
- 为了分析206名患有子宫外胆囊的患者的数据.
主要方法:
- 系统审查已发表的文献,包括案例报告,案例系列,简要报告和给编辑的信件.
- 分析患者人口统计,EGB类型,临床表现,诊断方式和手术结果.
- 数据综合用于识别诊断和治疗的趋势.
主要成果:
- 从122个病例报告,21个病例系列,2个简要报告和4封信中,共识出了206名患有子宫外胆囊的患者.
- 左侧宫外胆囊是最常见的类型,占病例的54.9%.
- 大多数患者 (81.6%) 有症状,腹痛是最常见的投诉;在41.2%的病例中实现了术前诊断,而48.6%的病例被诊断为手术内诊断.
- 与超声波相比,对比度增强的CT和MRCP在术前诊断方面表现出更高的灵敏度.
- 腹腔镜胆囊切除术是首选的手术方法,大多数患者接受了这种微创手术.
结论:
- 宫外胆囊诊断通常依赖于先进的成像技术,如CT和MRCP,由于超声波的局限性.
- 腹腔镜胆囊切除术是已确定的异位胆囊外最佳手术治疗方法.
- 早期和准确的诊断,加上适当的手术管理,对于有利的患者结果至关重要.
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