【doc】胆囊腺肌瘤病一例

【doc】胆囊腺肌瘤病一例 胆囊腺肌瘤病一例 江西医学院34卷 TheRelationshipbetweenDynamicLevel ofSerumConjugatedGlycocholicAcidand PrognosisofViralLiverDiseases ZhaoLingwuZhangGuobao (DepartmentInfectiousDiseases,Jiangxi34redlcalCollege,Nanchang330006) Abstract Thefastingserumconjugatedglycocholicacid(SCG)inonehundredandfiftythreepa— tientswithviralliverdiseaseswasdetermineddynamicallybyRIAmethodandcompared withALTandASTdeterminedsimultaneously.ItwasfoundthatSCGlevelinpatientswith weverehepatitisandchronicactivehepatitisismuchhigherthantMtinthosewthacute hepatitisandchronicpersistenthepatitis(P<0.05).TheSCG1evelofliverdiseases;nac— tiveperiodispositivelycorrelatedwithALT(P<O.OO1).Graveprognosisisresultedinpa— tientswithseverehepatitisandchronicactivehepatitis,iftheirSCGsurpasses3Omg/Land persistsforweeksofmore.ItissuggestedthattheobservationofSCGdynamiclevelisof practica1valuefortheevaluationoftheprognosisofviralliverdiseases. Keywords:glycocholicacid/blood;glycocholicacid/diagnosis} hepatlts,virous?human/diagnosis;radioimmunoassay;comparativestudy (责任编辑刘大仁) ,:,M州,_/.幸"",卅,'}审,, , 霞p缸话,日吩寸尚赢f1若 胆囊腺肌瘤病一例 曾妙银 7; (广东英德人民医院英德513000) 1临床资科 患者,男t7O岁,固反复右上窿疼痛3十月.于 1993年10月20日^院,体检}T36.8c,P70次.R 16次,BPlS/11kPa,神清,心肺未见异常,腹平软, 肝脾不肿大t右上腹压痛(+),奠菲氏征(+)未触 及肿大胆囊B超示胆囊增大.人院前10d,CT平扫 腹部,肝,牌胰无异常,胆囊葫芦形,囊壁厚3mm. CT诊断;胆囊腺肌增病,慢性胆囊炎 人院后行胆囊摘除术,见胆囊增大,呈典型葫芦 形,胆囊体有二个环形缩窄,缩窄处见胆囊壁增厚. 术后一局拆线,痊愈出院. 病理报告:胆囊腺肌瘤病. 2讨论 胆囊腺肌瘤病.届少见病.本例乃胆囊腺肌良性 增生,累及胆囊壁的一段,造成环形狭窄或将胆囊分 成二段或三段,中间有一狭窄管道相通,使胆囊成为 葫芦形.