微创保胆取石术前后胆囊收缩功能的超声评价

目的超声评价微创保胆取石术前后胆囊收缩功能的变化,为临床提供重要手术参考依据。方法应用超声评价40例微创保胆取石术患者手术前后胆囊收缩功能的变化。结果本组病例中,术前胆囊收缩功能良好(A组)21例术后胆囊收缩率均恢复正常;术前收缩功能尚可(B组)12例66%恢复正常;术前收缩功能欠佳和差(C组)7例71%收缩功能恢复正常或改善。3组患者术后3个月胆囊收缩率比较术前均有统计学差异(P<0.05)。结论超声评价诊断胆囊结石疾病及胆囊功能具有重要的临床作用,为微创保胆取石术前后胆囊功能的评估提供了重要的依据,本组病例提示,微创保胆取石术患者术后胆囊收缩功能基本可恢复正常或接近正常。

Evaluation the changes of gallbladder contractile function before and after minimally invasive cholecystolithotomy using ultrasound

Objective To evaluate the changes of gallbladder contractile function（CF） before and after minimally invasive eholeeystolithotomy （MIC）, to provide a reference for clinical operation. Methods To evaluate the changes of gallbladder CF of 40 cases before MIC and after MIC using ultrasound. Results After MIC 3 months, the gallbladder CF of A group became normal~ the gallbladder CF of 66% B group became normal; the gallbladder CF of 71% C group became normal. The gallbladder CF was better after MIC 3 months than before（P〈0.05）. Conclusion Ultrasound is an important method to evaluate the gallbladder CF, and it can provide an important reference for minimally invasive cholecystolithotomy. In our research, their gallbladder CF who had MIC reached the normal or almost normal level.