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한국인 소아에서 초음파를 이용한 정상 담낭 크기 측정
Sonographic Measurement of the Normal Gallbladder Size in the Korean Children

유정현    (이화여자대학교 의과대학 방사선과학 교실  );
  • 초록

    Purpose : While normal ultrasound measurement of the gallbladder (GB) is well established in adults, littleattention has been focused on the normal measurement of the pediatric gallbladder. Normal parameters of thepediatric gallbladder may be significant to establish disease criteria, because some gallbladder diseases are onlyaccompanied by changes in gallbladder size. We therefore wish to document the normal ultrasonic parameters of thepediatric gallbladder. Material and Method : Five hundred and ten children with normal clinical findings andlaboratory data were included in this study. Ultrasonography was performed as a part of a health screeningexamination from the Dec. 1994 to Feb. 1995. Sonographic parameters included gallbladder size, volume, andclinical parameters such as age, height, weight, and body surface area were noted stastical significance betweenthe sonographic and clinical parameters was analyzed through correlation and regression analysis. Results : Thepatient age was ranged from 0 to 16 years, and the male : female ratio was 1.5 : 1. The longitudinal length of GBshowed significant positive correlation with patient age(0.504), height(r=0.527), body weight(r=0.492), and bodsurface(r=0.522)(p〈0.0001). The result of correlation analysis and regression analysis to the volume ofgallbladder was also significant(r : 0.403-0.515, p〈0.0001). The correlation analysis to the transverse length ofgallbladder shows relatively low correlation coefficiency(r=0.290-0.398), however, the result of regresionanalysis shows significance(p〈0.0001). The range of mean value of gallbladder size according to age was3.32( $\pm$ 0.73)-6.81( $\pm$ 1.05)cm in longitudinal length, 1.10( $\pm$ 0.37)-2.01( $\pm$ 0.57)cm in transverse length, and2.46( $\pm$ 1.66)-15.35( $\pm$ 8.18)cm3 in volume. Conclusion : The mean values of pediatric gallbladder may be an usefulindex for the clinical application to vanior gallbladder disease.


  • 주제어

    Gallbladder, US .   Ultrasound(US), in infants and children.  

  • 참고문헌 (11)

    1. Ultrasound evaluation of the gallbladder wall , Finberg HJ;birnholz JC , Radiology / v.133,pp.693-698,
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    7. Incidence of choleithiasis in sickle cell anemia using the ultrasonic gray-scale technique , Sarnaik S;Slovis TL;Corbett DP;Emami A;Whitten CF , J Pediatr / v.96,pp.1005-1008,
    8. Sonography of the Normal Pediatric Gallbladder and Biliary Tract , McGahan JP;Phillips HE;Cox KL , Radiology / v.144,pp.873-875,
    9. Sonography in the Diagnosis and Management of Hydrops of the Gallbladder in Children with Mucocutaneous Lymph Node Syndrome , Slovis TL;Hight DW;Philippart AI;Dubois RS , Pediatrics / v.65,pp.789-794,
    10. Mucocutaneous lymph node syndrome : report of two cases complicated by gallbladder hydrops and diagnosed by ultrasound , Magilavy DB;Speert DP;Silver TM;Sullivan DB , Pediatrics / v.61,pp.699-702,
    11. Cholecystitis and hydrops of the gallbaladder in the newborn , Robinson AE;Erwin JH;Wiseman HJ;Kodroff MB , Radiology / v.122,pp.749-751,

 저자의 다른 논문

  • 유정현 (12)

    1. 1990 "나환자에서의 족저골 변화에 관한 연구" 대한방사선의학회지 = Journal of the Korean Radiological Society 26 (6): 1236~1243    
    2. 1996 "말초현관 가성동맥류의 중재적 치료 : 3예보고" 대한방사선의학회지 = Journal of the Korean Radiological Society 34 (1): 53~58    
    3. 1997 "방사선조사후 백서소장점막에서 발생하는 신호전달체계에 관한 연구" 대한치료방사선과학회지 = The Journal of the Korean society for therapeutic radiology and oncology 15 (2): 79~95    
    4. 1997 "초음파 측정에 의한 정상 소아의 비장길이" 대한방사선의학회지 = Journal of the Korean Radiological Society 36 (6): 1071~1074    
    5. 1997 "만성정맥부전 환자에서 색도플러초음파의 역할" 대한방사선의학회지 = Journal of the Korean Radiological Society 37 (6): 1039~1042    
    6. 2001 "뇌하수체에 발생한 교질 낭종:1예 보고" 대한방사선의학회지 = Journal of the Korean Radiological Society 45 (5): 457~460    
    7. 2002 "신경계를 침범한 가족성 혈액탐식성 림프조직구증다증의 자기공명영상 소견: 1예 보고" 대한방사선의학회지 = Journal of the Korean Radiological Society 46 (3): 283~287    
    8. 2003 "혈관미주 신경성 실신 소아에서 기립경사 검사 동안에 뇌혈류 변화" 소아과 = Journal of the Korean pediatric society 46 (10): 983~988    
    9. 2005 "가와사끼병 환아에서 흉부 X-선 검사의 변화와 혈중 Tumor Necrosis Factor-α에 대한 연구" Korean journal of pediatrics 48 (5): 534~538    
    10. 2009 "제1늑골의 피로골절" 大韓胸部外科學會誌 = The Korean journal of thoracic and cardiovascular surgery 42 (5): 674~676    

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