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目的探讨超声检测胆囊功能在保胆取石术患者中的应用价值。方法选取2014年3月至2015年3月138例胆囊结石伴慢性胆囊炎患者作为研究对象,所有患者术前均行脂餐试验,在超声动态监测下观察胆囊收缩情况,评估胆囊的胆汁收缩、释放、储存功能,对患者的胆囊功能进行分级,观察不同级别患者的保胆成功率。结果术前经超声检测,138例患者中胆囊功能Ⅰ级40例,占29.0%(40/138);Ⅱ级31例,占22.5%(31/138);Ⅲ级17例,占12.3%(17/138);Ⅳ级50例,占36.2%(50/138);胆囊功能Ⅰ级患者的保胆成功率最高,次之为Ⅱ级患者。结论在手术治疗前应用超声检查评估胆囊功能,能够为临床合理选择手术方式提供可靠依据,有效提高了保胆成功率。
Objective To investigate the value of ultrasonography in detecting gallbladder function in gallbladder surgery. Methods A total of 138 patients with gallstone and chronic cholecystitis from March 2014 to March 2015 were selected as study subjects. All patients underwent lipid-meal test before operation, observe the gallbladder contraction under ultrasound dynamic monitoring, evaluate gallbladder biliary contraction, Release, storage function, the patient’s gallbladder function grading, observe the different levels of patients with gallbladder success rate. Results There were 40 cases of grade Ⅰ in 40 cases (138 cases), 40 cases of grade Ⅰ (138 cases), 31 cases of grade Ⅱ (31 cases), 31 cases of grade Ⅲ (12.3%), 17/138). Grade IV was 50 cases (36.2%, 50/138). Patients with grade I gallbladder had the highest gallbladder success rate, followed by grade II patients. Conclusion The application of ultrasound before surgery to evaluate the function of gallbladder can provide a reliable basis for clinical choice of operative methods and effectively improve the success rate of gallbladder.