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胆囊息肉样病变的流行病学及危险因素
Epidemiology of polypoid lesions of the gallbladder and related risk factors
文章发布日期:2019年01月07日  来源:  作者:陈善鹏,王智翔,张小弟,等  点击次数:288次  下载次数:49次

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【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。
【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.
【关键字】:胆囊疾病; 息肉; 流行病学; 危险因素; 综述
【Key words】:gallbladder diseases; polyps; epidemiology; risk factors; review
【引证本文】:CHEN SP, WANG ZX, ZHANG XD, et al. Epidemiology of polypoid lesions of the gallbladder and related risk factors[J]. J Clin Hepatol, 2019, 35(2): 441-443. (in Chinese)
陈善鹏, 王智翔,张小弟,等. 胆囊息肉样病变的流行病学及危险因素[J]. 临床肝胆病杂志, 2019, 35(2): 441-443.

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