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肝硬化患者胆囊运动功能与Child-Pugh分级的相关性研究 被引量:1

Gallbladder motility in patients with liver cirrhosis and Child-Pugh grade
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摘要 探讨肝硬化患者胆囊运动功能与Child-Pugh分级之间的关系。研究对象分为正常对照组14例和肝硬化组62例,并行Child—Pugh分级。全部受试者均行mTc—EHIDA肝胆动态显像得到:①潜伏期(LP);②排胆期(EP);计算③排胆分数(GBEF);④排胆率(ER)。比较正常对照组与肝硬化组GBEF、LP、ER,可见肝硬化患者GBEF和ER明显低于正常对照组(P<0.01),LP高于正常对照组(P<0.05)。Child-Pugh A级、B级、C级三组的胆石发生率和胆囊运动异常发生率分别为:7.7%和15.4%,19.0%和19.0%,35.7%和46.4%。Child-Pugh分级越高,胆囊运动异常发生率越高(P<0.05),胆结石发生率也越高(但P>0.05),同时胆囊壁厚度越厚(P<0.05)。肝硬化患者的胆囊运动功能减弱,且与肝功能损害程度有一定的关系。 To investigate the relationship between gallbladder motility function and Child -Pugh grade. The study included 14 normal subjects and 62 patients with liver cirrhosis. Every patient had their own Child - Pugh grade. All subjects received^99mTc - EHIDA hepatobiliary scintigraphy. Latent period ( LP), ejection period ( EP), gallbladder ejection fraction (GBEF) and ejection rate (ER) were acquired. GBEF and ER of liver cirrhosis patients are lower than that of normal subjects. LP of liver cirrhosis patients is higher than that of normal subjects and there were significant difference in GBEF, ER and LP. Significant difference is found in incidence rate of gallbladder motility disfunction in different Child - Pugh grade. There was no significant difference in incidence rate of gallstones in different Child - pugh grade. The gallbladder motility function of cirrhosis patients is impaired and is related to the Child - Pugh grade.
出处 《临床肝胆病杂志》 CAS 2006年第4期267-269,共3页 Journal of Clinical Hepatology
关键词 肝硬化 胆囊运动 胆结石 肝胆显像 cirrhosis gallbladder motility gallstone hepatobiliary scintigraphy
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  • 1陈绍亮 赵惠杨 等.肝胆显像在黄疸及肝脏占位性病变鉴别诊断上的应用[J].中华核医学杂志,1983,3(4):215-218.
  • 2周前 蒋朱明 等.99mTc-EHIDA肝胆显像评价TPN时的肝胆功能[J].中华核医学杂志,1988,8(4):195-198.
  • 3Everson GT. Gallbladder function in gallstone disease[ J ]. Gastroenterol Clin North Am, 1991,20(1):85- 110. Review.
  • 4Dodds WJ, Groh WJ, Darweesh RM, et al. Sonographic measurement of gallbladder volume[J] .AJR Am J Roentgenol. 1985,145(5): 1009 - 11.
  • 5Cuelrud M, Rossiter A, Souney PF, et al. The effect of transcutaneous nerve stimulation on sphincter of Oddi pressure in patients with biliary dyskinesia[J]. Am J Gastroenterol, 1991, 86(5) :581 - 5.
  • 6Pompili M, Rapaccini GL, Caturelli E, et al. Gallbladder emptying,plasma levels of estradiol and progesterone, and cholecystokinin secretion in liver cirrhosis[J]. Dig Dis Sci, 1995,40(2) :428 - 34.
  • 7Acalovschs chi M, Dumitrascu DL, Csakany Ⅰ. Gastric and gallbladder emptying of a mixed meal are not coordinated in liver cirrhosis- a simultaneous sonographic study[J]. Gut, 1997,40(3) :412 - 7.
  • 8胡望明,尹朝礼,陆再英.肝硬化病人胆囊运动功能与自主神经功能的关系[J].中华消化杂志,1997,17(6):336-338. 被引量:10
  • 9王进海,罗金燕,于祥艺,刘欣.肝硬化门静脉高压与胆道运动功能关系的研究[J].中华肝脏病杂志,2000,8(1):35-36. 被引量:9
  • 10刘传勇,刘京璋,李自英,刘克敬.兔迷走神经在协调消化间期胆囊与奥迪氏括约肌运动方面的作用[J].中国应用生理学杂志,2000,16(4):347-349. 被引量:12

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