彩超胆囊排空功能测定的改良方法分析  

Analysis on improvement method for detection of gallbladder emptying function by color doppler ultrasound

作　　者：方锡明[1] 杨晓东[1] 帅建[1] 艾小江[1] 

机构地区：[1]深圳市人民医院龙华分院外一科,518000

出　　处：《中国实用医药》2017年第1期45-47,共3页China Practical Medicine

基　　金：深圳市科技计划项目(项目编号:201507004)

摘　　要：目的研究改良方法用于彩色多普勒超声(彩超)胆囊排空功能测定中的作用。方法 100例接受健康体检的健康志愿者为本次研究的观察对象,全部健康志愿者在不同时间点分别服用三种不同的脂餐,A餐为国内传统使用的"两个煎鸡蛋",B餐为90 ml淡奶油(内含30 g脂肪),C餐为本院自行配置的脂餐(不含乳糖,含脂肪14 g,为粉末状的脂餐,溶于200 ml温水中服用),对100例健康志愿者进行自身对照的彩超胆囊排空功能测定,观察三种脂餐的最大胆囊排空分数、排空时间、以及C餐餐后30、60 min胆囊排空分数的95%参考值。结果 A餐最大胆囊排空分数为(64.60±11.77)%,B餐最大胆囊排空分数为(68.77±8.43)%,C餐最大胆囊排空分数为(70.32±7.44)%,三种脂餐最大胆囊排空分数比较差异具有统计学意义(P<0.05)。A餐达到最大胆囊排空分数的排空时间为(71.60±26.86)min,B餐达到最大胆囊排空分数的排空时间为(57.23±21.94)min,C餐达到最大胆囊排空分数的排空时间为(56.40±22.84)min,三种脂餐达到最大胆囊排空分数的排空时间比较差异具有统计学意义(P<0.05)。C餐餐后30 min胆囊排空分数(30MGBEF)95%的参考值范围是(54.04±11.41×1.96,即31.68%~76.40%);餐后60 min胆囊排空分数(60MGBEF)95%的参考值范围是(60.58±8.13×1.96,即44.65%~76.51%)。结论在采用彩超进行胆囊排空功能测定中,选用不含乳糖的自制脂餐能取得更为准确的测定结果 ,自制脂餐比"两个煎鸡蛋"和"90 ml淡奶油"更加适用,可以选择餐后30、60 min作为测量点,并且以分钟胆囊排空分数来取代胆囊排空分数,可在临床上得到广泛应用。Objective To study effect of improvement method for detection of gallbladder emptying function by color Doppler ultrasound. Methods There were 100 healthy volunteers with health examination as obsevation subject for this study, and they received three different kinds of fatty meals. Meal A was traditional domestic ＂two fried eggs＂, and meal B was 90 ml single cream（with 30 g fat）, and meal C was hospital selfdesigned fatty meal（with free lactose and 14 g fat, as powdered fatty meal and taken by dissolving in 200 ml warm water）. Gallbladder emptying function of 100 healthy volunteers were detected by color doppler ultrasound for self-control. Observation were made on largest gallbladder emptying fraction, emptying time in three fatty meals and 95% reference range of gallbladder emptying fraction in meal C 30 and 60 min after dinner. Results Meal A had largest gallbladder emptying fraction as（64.60±11.77）%,（68.77±8.43）% in meal B and（70.32±7.44）% in meal C. There was statistically significant difference in largest gallbladder emptying fraction in three fatty meals（P〈0.05）. Meal A had emptying time to largest gallbladder emptying fraction as（71.60±26.86） min, which was（57.23±21.94） min in meal B and（56.40±22.84） min in meal C. There was statistically significant difference in emptying time to largest gallbladder emptying fraction in three fatty meals（P〈0.05）. Meal C had 95% reference range of gallbladder emptying fraction 30 min after meal（30MGBEF） as（54.04±11.41×1.96, that was 31.68%~76.40%）, and 95% reference range of gallbladder emptying fraction 60 min after meal（60MGBEF） as（60.58±8.13×1.96, that was 44.65%~76.51%）. Conclusion Self-designed fatty meal with free lactose provides accurate Results for the detection of gallbladder emptying function by color doppler ultrasound. Self-designed fatty meal is more suitable than ＂two fried eggs＂ and ＂90 ml single cream＂. 30 and 60 min after meal can be measuring points in time and using minu

关 键 词：脂餐 胆囊排空功能 彩色多普勒超声 排空分数 排空时间 

分 类 号：R445.1[医药卫生—影像医学与核医学]