CAJ | 학술논문

收集55例2005年1月至2011年12月间以胆囊结石就诊于我院的14岁以下儿童的临床资料.36例为大量使用头孢曲松钠导致的“假性胆囊结石”,2例患有慢性溶血性疾病,9例儿童为肥胖,余原因不明.保守治疗50例,42例患儿结石自行溶解；行三孔法腹腔镜胆囊切除术4例,术后随访2～4年,无明显并发症发生；内镜联合保胆取石术1例,随诊2年,未复发；其余患儿仍在观察中.头孢曲松钠及肥胖是目前儿童胆囊结石的重要病因,治疗方案应在充分考虑病因与症状的前提下慎重选择.
수집55례2005년1월지2011년12월간이담낭결석취진우아원적14세이하인동적림상자료.36례위대량사용두포곡송납도치적“가성담낭결석”,2례환유만성용혈성질병,9례인동위비반,여원인불명.보수치료50례,42례환인결석자행용해；행삼공법복강경담낭절제술4례,술후수방2～4년,무명현병발증발생；내경연합보담취석술1례,수진2년,미복발；기여환인잉재관찰중.두포곡송납급비반시목전인동담낭결석적중요병인,치료방안응재충분고필병인여증상적전제하신중선택.
A total of 55 children aged under 14 years with cholecystolithiasis were treated at our hospital between January 2005 to December 2011.Their clinical data were collected and analyzed.The etiologies included pseudolithiasis (n =36),chronic hemolytic disease (n =2),obesity (n =9) and unknown (n =8).Among 50 cases on conservative treatment,42 cases were cured.Four cases underwent laparoscopic cholecystectomy.During a follow-up period of 2-4 years,there was no occurrence of significant complications.The removal of gallbladder stone was performed via laparoscopy plus choledochoscope in 1 case.There was no recurrence during a follow-up period of 2 years.Ceftriaxone sodium and obesity were the major cause of pediatric cholecystolithiasis.A proper selection of treatment regimens should be based upon the considerations of etiologies and symptoms.