摘要
目的应用心脏左室容量计算法(改良Simpson法)评价肝豆状核变性患者胆囊收缩功能。方法选择肝豆状核变性患者54例和正常人60例,分别于空腹和脂餐试验后在胆囊长轴切面应用改良Simpson法测量胆囊容积,计算胆囊排空率。结果在空腹状态下,肝豆状核变性患者与正常对照组胆囊容积分别为(27.31±6.90)ml和(25.63±4.72)ml,差异无统计学意义(P>0.05);在高脂餐后,肝豆状核变性患者胆囊容积为(10.31±4.61)ml,明显大于正常对照组[(3.41±2.78)ml,P<0.05];餐后肝豆状核变性患者胆囊排空率为(54.85±12.12)%,显著低于正常对照组[(73.48±7.60)%,P<0.01]。结论采用改良Simpson法测量胆囊容积具有简单易行和重复性好的特点,有助于临床上评估肝豆状核变性患者的胆囊收缩功能。
To evaluate the gallbladder contractility of patients with hepatolenticular de-generation (HLD) by cardiac left ventricular volume calculation method (modified Simpson method). Methods The modified Simpson method was conducted at the long axis view to measure the gall-bladder volume of 104 subjects (54 with HLD and 60 normal persons) under fasting conditions and after the administration of lipoid-food,and the gallbladder emptying rates in two groups were calculat-ed and compared. Results Under the fasting state,there was no statistical difference in the volume of gallbladder between the patients with HLD [(27.31±6.90) ml] and the healthy controls [(25.63± 4.72) ml];after the conduction of lipoid-food test,the gallbladder volume in patients with HLD was (10.31 ±4.61)ml,significantly bigger than in the controls [(3.41 ±2.78)ml,P〈0.05],while the gall-bladder emptying rate in patients with HLD [(54.85±12.12)%] was significantly lower than that in the controls [(73.48±7.60)%,P〈0.01]. Conclusions The modified Simpson method is easy to perform and of good repeatability in measurement of gallbladder volume and is helpful in evaluation of gall-bladder contractility in patients with HLD.
出处
《实用肝脏病杂志》
CAS
2014年第4期388-391,共4页
Journal of Practical Hepatology