实用肝脏病杂志 ›› 2014, Vol. 17 ›› Issue (4): 388-392.doi: 10.3969/j.issn.1672-5069.2014.04.014

• 肝豆状核变性 • 上一篇    下一篇

应用改良Simpson法评价肝豆状核变性患者胆囊收缩功能

张靖, 王金萍, 王佳佳, 伍宏兵   

  1. 230031 合肥市 安徽中医药大学研究生部(张靖); 第一附属医院超声诊断科(张靖,王金萍,王佳佳,伍宏兵)
  • 收稿日期:2014-01-10 出版日期:2014-08-30 发布日期:2016-04-11
  • 作者简介:张靖,女,32岁,硕士研究生,住院医师。主要从事腹部及心脏超声诊断工作。E-mail:510351183@qq.com

Application of the modified Simpson method in evaluation of gallbladder contractility in patients with hepatolenticular degeneration

Zhang Jing, Wang Jinping, Wang Jiajia   

  1. Graduate School,Anhui University of Traditional Chinese Medicine,Hefei 230031,Anhui Province,China
  • Received:2014-01-10 Online:2014-08-30 Published:2016-04-11

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。

关键词: 肝豆状核变性, 胆囊收缩功能, 超声诊断, Simpson法

Abstract: Objective To evaluate the gallbladder contractility of patients with hepatolenticular degeneration (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 gallbladder 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 calculated 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 gallbladder 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]. ConclusionsThe modified Simpson method is easy to perform and of good repeatability in measurement of gallbladder volume and is helpful in evaluation of gallbladder contractility in patients with HLD.

Key words: Hepatolenticular degeneration, Gallbladder contractility, Ultrasound, Simpson method