体外碎石与胆囊收缩功能的关系

The Relationship between Extracorporeal Lithotripsy and the Contracting Function of Gallbladder

为探讨胆囊收缩功能与体外碎石、溶石、排石综合疗效的关系及体外碎石术对胆囊功能的影响．选择经体外碎石疗法治愈且治疗前后均作了口服胆囊造影检查的患者79例．按收缩功能分3组分析，＜1／3（Ⅰ组）29例．≥1／2（Ⅱ组）39例、≥2／3（Ⅲ组）11例。结果显示．治愈后胆囊收缩功能增进率为63．3％；Ⅰ、Ⅱ、Ⅲ组中单个结石消失时间依次为（14．3±133．5）d／例、（80．8±78．6）d／例、（51．8±50．3）d／例．Ⅰ、Ⅲ组比较有显著性差异（P＜0．05）。表明胆囊收缩功能佳者．利于碎石排出．疗程亦短．收缩功能不佳者也有治愈希望。

Seventy-nine patients who accepted extracorporeal lithotripsy after gallbladder contrasting examination were investigated in order to explore the relationship between extracorporeal lithotripsy and the contracting function of gallbladder, and the effect of extracorporeal lithotripsy on the gallbladder. They were divided into such 3 groups as group Ⅰ (<1/3, 29 ), group Ⅱ (> 1 /2, 39 )and group Ⅲ (>2/3, 11 ) according to the function level of their gallbladders. The results showed that the function level of gallbladders increased by 63. 3% after recovery. The average time for the calculus disappearing of group Ⅰ, Ⅱ and Ⅲ was (146. 3±133. 5)d, (80. 8±78. 6)d and (51. 8±50.3)d, respecfively. There was significant difference between group Ⅰ and group Ⅲ (P <0. 05 ). It was indicated that the elimination of calculi in patients with good gallbladder functions were easier and these patients'period of treatment were also shorter. The patients without ideal gallbladder functions had good effect of treatment,too.