摘要
目的:探讨与分析超声监测下胆囊结石与胆囊息肉并存患者胆囊动力学变化及临床意义。方法:采用回顾性分析,2022年1月到2024年12月选择在本院诊治的胆囊结石与胆囊息肉并存患者82例作为合并组,同期选择单纯胆囊结石82例患者与单纯胆囊息肉患者82例作为结石组与息肉组。所有患者都给予超声检查,记录胆囊动力学、胆囊容积与排空率变化情况,随访患者的预后。结果:合并组的空腹胆囊容积高于结石组,结石组高于息肉组(P<0.05)。合并组的餐后30 min排空率、餐后60 min排空率、餐后90 min排空率、餐后120 min排空率低于结石组,结石组低于息肉组(P<0.05)。合并组的最大收缩容积、平均排空速率低于结石组与息肉组(P<0.05),排空达峰时间高于结石组与息肉组(P<0.05)。随访6 m,合并组的急性胆囊炎、胆源性胰腺炎、胆囊切除等发生率明显高于结石组和息肉组(P<0.05)。结论:胆囊结石与胆囊息肉并存患者多伴随有空腹胆囊容积升高与餐后不同时间点排空率降低,使得胆囊动力学功能参数异常,从而导致随访预后结局不佳。
Objective:To explore and analyze the changes and clinical significance of gallbladder dynamics in patients with coexisting gallstones and gallbladder polyps under ultrasound monitoring.Methods:Using a retrospective analysis,82 patients with coexisting gallstones and gallbladder polyps treated in our hospital from January 2022 to December 2024 were selected as the combined group.During the same period,82 cases of patients with simple gallstones and 82 cases of patients with simple gallbladder polyps were selected as the stone group and polyp group.All patients were given ultrasound examination.Changes in gallbladder dynamics,gallbladder volume,and emptying rate,and followed up on their prognosis were record and compared.Results:The fasting gallbladder volume of the combined group were higher than that of the stone group,and higher than that of the polyp group(P<0.05).The 30 minutes postprandial emptying rate,60 minutes postprandial emptying rate,90 minutes postprandial emptying rate,and 120 minutes postprandial emptying rate of the combined group were lower than those of the stone group,and the stone group were lower than the polyp group(P<0.05).The maximum systolic volume and average emptying rate of the combined group were lower than those of the stone group and polyp group(P<0.05),and the peak emptying time were higher than that of the stone group and polyp group(P<0.05).The differences in the above indicators compared between the stone group and polyp group were also statistically significant(P<0.05).During 6-month followed-up,the incidence of acute cholecystitis,biliary pancreatitis,cholecystectomy,etc.in the combined group were significantly higher than those in the stone group and the polyp group(P<0.05).Conclusion:Patients with coexisting gallstones and gallbladder polyps often show increase in fasting gallbladder volume and decrease in postprandial emptying rate at different time points,which leads to abnormal gallbladder dynamic functional parameters and poor follow-up prognosis.
作者
张琳琳
Zhang Lin-lin(Department of Ultrasound,Nankai Hospital,Integrated Traditional Chinese and Western Medicine of Tianjin,Tianjin 300100,China)
关键词
胆囊结石
胆囊息肉
胆囊容积
餐后排空率
胆囊动力学
排空达峰时间
Gallstones
Gallbladder polyps
Gallbladder volume
Postprandial emptying rate
Gallbladder dynamics
Peak emptying time
