成人胆囊运动障碍的诊治进展

Advances in the diagnosis and treatment of gallbladder dyskinesia in adults

胆囊运动障碍(GD)主要表现为反复发作的胆绞痛症状,严重影响患者的工作和生活,但常因超声检查阴性而被临床工作者所忽视。简述了GD的诊疗进展,包括病因、临床表现、诊断性检查、诊断标准及治疗方法,认为典型胆绞痛症状、低胆囊排空分数且排除胆囊无器质性病变是诊断GD的关键,胆囊切除术是目前治疗GD的主要方法,但哪些GD患者更可能从胆囊切除术中获益,未来需要进一步研究。

Gallbladder dyskinesia（GD） mainly manifests as recurrent biliary colic,which may greatly affect the patient’s work and life,but it is often neglected by clinical physicians due to negative results of ultrasound examination.This article introduces the latest advances in the diagnosis and treatment of GD,including etiology,clinical manifestations,diagnostic examinations,diagnostic criteria,and treatment methods.It is pointed out that typical symptoms of biliary colic,low gallbladder emptying fraction,and exclusion of organic lesions in the gallbladder are the key to the diagnosis of GD.Cholecystectomy remains the major treatment method for GD,and further studies are needed to clarify which patients can benefit more from cholecystectomy.