肝硬化患者胆囊功能变化的临床研究  

Contraction Functional and Pathologic Changes of Cholecyst in Patients with Hepatocirrhosis

作　　者：燕善军[1] 徐希岳[1] 

机构地区：[1]安徽省蚌埠医学院附属医院消化科,233004

出　　处：《实用全科医学》2005年第4期293-294,共2页Applied Journal Of General Practice

摘　　要：目的研究肝硬化时胆囊病理和收缩功能的变化。方法对260例肝硬化患者进行胆囊超声研究。结果胆囊病理性改变者56.15%,其中有胆囊结石28.08%,胆囊壁增厚22.69%,胆囊肿大占3.08%,胆囊萎缩占2.30%,胆囊结石84.93%发生于肝硬化失代偿期患者,84.93%的胆结石病例伴有脾功能亢进。胆囊收缩功能异常者68.85%,其中合并胆囊病理性改变81.56%,单纯胆囊收缩功能减退占18.44%。结论肝硬化并发胆囊病理改变发生率超过56.15%,胆囊收缩功能减退为68.85%,值得临床重视。Objective To investigate the contraction functional and pathologic changes of cholecyst in patients with hepatocirrhosis. Methods 260 patients with hepatocirrhosis were diagnosed with ultrasonic cholecystography. Results Among 260 cases, normal cholecyst accounted for 43.85% and abnormal cholecysts accounted for 56.15%. Gallbladder stone accounted for 28.08%, Cholecystic wall incrassation accounted for 22.69%. Cholecyst intumescence accounted for 3.08%. Cholecyst atrophy accounted for 2.30%. The incidence of gallbladder stone was 84.93% in patients with decompensated hepatocirrhosis. The cases of gallstone combined with hypersplenism accounted for 84.93%. Cases with cholecyst contractive function letdown accounted for 68.85%. Conclusions Hepatocirrhosis may bring on the pathological changes and the letdown of contraction function of cholecyst.

关 键 词：肝硬化患者 临床研究 功能变化 肝硬化失代偿期 病理性改变 胆囊收缩功能 胆囊结石 功能减退 胆囊壁增厚 脾功能亢进 超声研究 胆囊肿大 胆囊萎缩 病理改变 胆结石 异常者 发生率 

分 类 号：R575.2[医药卫生—消化系统] R544.1[医药卫生—内科学]