摘要
目的:探讨B超检查下测定胆囊收缩功能的临床意义和其影响因素.方法:58例症状性胆囊结石患者B超检查下测定空腹、脂餐后1小时和脂餐后1.5小时胆囊容积并计算脂餐后胆囊排空率(PGER),分析胆囊结石的大小、个数及病史与胆囊收缩功能的关系.结果:脂餐后1小时PGER 41.86±27.99%(0～87%),脂餐后1.5小时PGER48.82±28.86%(0～87%),两者间比较无明显差异(t=1.18,P＞0.05).研究表明胆囊收缩功能的好差与胆囊结石的个数密切相关(x2=5.53,P＜0.05).结论:胆囊收缩功能的测定在选择慢性胆囊炎、胆囊结石的治疗方案时是必要的.胆囊收缩功能测定采用脂餐后1小时即可.结石过多或较大及长期的慢性胆囊炎均影响胆囊收缩功能.
Purpose: To probe into the clinical significance of the determination of the contraction function of gallbladder and the factors influencing the contraction function of gallbladder. Methods: Let 58 cases of patients of gallbladder calculus undergo limosis under the check of B- ultrasonic, then determine the gallbladder cubage 1 hour and 1.5 hours after giving the patients lipid meal, calculate postprandial gallbladder emptying rate(PGER) respectively and analyze the relationship between the size, number of calculus, case history and the contraction function of gallbladder. Results: 1 hour after lipid meal PGER 41.86 ± 27.99% (0 - 87 % ) and 1.5 hours after lipid meal PGER 48.82 ± 28.86 % (0 - 87 % ), there being no obvious difference (t = 1.18, P>0.05). The research indicates that the state of the contraction function of gallbladder is closely related to the number of the calculus (x2 = 5.53, P<0.05). Conclusion: The determination of the contraction function of gallbladder is essential in the selection of the medical treatment of chronic cholecystitis and gallbladder calculus. The determination can be performed 1 hour after lipid meal. The number and the size of calculus as well as the case history of the patients of chronic cholecystitis all have influence on the contraction function of gallbladder.
出处
《临床消化病杂志》
2001年第6期267-268,共2页
Chinese Journal of Clinical Gastroenterology
关键词
胆囊结石
B超
胆囊收缩功能
胆囊排空率
胆囊容积
Gallbladder calculus B-ultrasonic Contraction function of gallbladder Gallbladder emptying rate Galbladder cubage
