食管、贲门癌病期和术后近期对胆囊收缩功能的影响  

Change of Gallbladder Contractile Function at Cancer Stage and Postoperative Period in Esophageal or Cardiac Cancer

作　　者：卢兆桐[1] 董磊[1] 孙桂武[1] 彭黎军[1] 李浩[1] 

机构地区：[1]济南军区总医院胸外科

出　　处：《中国胸心血管外科临床杂志》1998年第3期146-148,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的为了探讨食管、贲门癌病期和术后近期对胆囊收缩功能的影响及胆结石形成的因素。方法利用多功能超声检查对５６例食管、贲门癌患者进行了研究。结果病期越晚，胆囊的收缩功能越差，Ⅰ、Ⅱａ期与Ⅳ期相比差异显著（Ｐ＜０．０５），术后近期胆囊容积大于术前（Ｐ＜０．０１），脂餐后４５分钟和９０分钟胆囊容积与脂餐前相比无差异，与术前相比差异显著（Ｐ＜０．０１）。此外，术后近期６例患者胆囊内有结石形成。结论食管、贲门癌病期和术后近期对胆囊收缩功能有较大影响，同时也是术后胆囊结石形成的重要因素。Objective To study the gallbladder contractile function and gallstone formation in cancer stage and postoperative period. Methods By using multiple functional ultrasonography 56 cases of esophageal or cardiac cancers were tested. Results The more advanced the cancer stage was , the worse the gallbladder contractile function. Comparison of gallbladder contractile function in stage Ⅰ, Ⅱa with that in stage Ⅳ showed significant difference (P<005). The early postoperative gallbladder volume was much larger than that before operation (P<001), 45min. or 90min. after taking fat test meal showed no significant difference in gallbladder volume with that before taking fat test meal, but there was significant difference with that before operation (P<001). Six patients developed gallstone were discovered shortly after operation on followup. Conclusion These indicate that esophageal or cardiac cancer and also those early after surgery might have some effects on gallbladder contractile function and gallstone formation.

关 键 词：食管癌 贲门癌 外科手术 胆囊收缩功能 

分 类 号：R735.105[医药卫生—肿瘤]