摘要
作者报告１７例慢性右上腹疼痛患者，胆囊Ｂ超检查未发现结石，其他各项检查结果阴性。７例均行口服胆道造影。作者认为若造影发现胆囊有形态或功能改变，如胆囊壁毛糙、胆囊增大、排空延迟、３６小时延迟造影排空差，即可诊为非结石性胆囊炎，并行胆囊切除术。本组１７例胆囊均有病理改变。术后平均随访１７个月，症状缓解１６例（９４％）。作者认为：有慢性胆道症状，Ｂ超检查胆囊无结石，口服胆道造影示胆囊炎症，收缩功能不良者，行胆囊切除能够缓解症状。
Abstract:In this study,tentative diagnosis of chronic acalculous cholecystitis (CAC) was made in 17 cases suffering from long term chronic right upper abdominal pain with normal gallbladder ultrasound test and abnormal oral cholecystography result. All patients underwent cholecystectomy and the diagnosis of CAC was proved by pathology. Averaged 17 months of follow-up found symptom-relief in 16 (94%). The author concludes that patients with symptoms of binary tract and no evidence of cholelithiasis, the disorder of gallbladder motility, gallbladder dilation or nonvisualization of the gallbladder demonstrated by the oral cholecystograhy,are likely to benefit from cholecystectomy.
出处
《普外临床》
CSCD
1997年第2期107-108,共2页
