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目的为了探讨食管、贲门癌病期和术后近期对胆囊收缩功能的影响及胆结石形成的因素。方法利用多功能超声检查对５６例食管、贲门癌患者进行了研究。结果病期越晚，胆囊的收缩功能越差，Ⅰ、Ⅱａ期与Ⅳ期相比差异显著（Ｐ＜０．０５），术后近期胆囊容积大于术前（Ｐ＜０．０１），脂餐后４５分钟和９０分钟胆囊容积与脂餐前相比无差异，与术前相比差异显著（Ｐ＜０．０１）。此外，术后近期６例患者胆囊内有结石形成。结论食管、贲门癌病期和术后近期对胆囊收缩功能有较大影响，同时也是术后胆囊结石形成的重要因素。
Objective To investigate the effect of esophageal, cardiac cancer and postoperative short-term effects on gallbladder contractile function and factors of gallstone formation. Methods A total of 56 patients with esophageal and cardiac cancers were studied using multi-functional ultrasonography. Results The later stage of the disease, the worse the contraction of the gallbladder, the difference between stage I and stage IIa and IV was significant (P<0.05). The gallbladder volume was significantly higher than before (P<0.01). There was no difference between the gallbladder volume at 45 and 90 minutes after the meal and before the meal, which was significantly different from the preoperative one (P<0.01). In addition, there were 6 cases of stone formation in the gallbladder in the near future. Conclusion The esophageal, cardiac cancer stage and postoperative short-term effects on gallbladder systolic function are significant, and it is also an important factor for postoperative gallstone formation.