CAJ | 학술논문

目的：观察胆囊功能不良患者超声微泡造影情况，为胆囊切除手术术前的评估作一定的参考。方法采用超声微泡造影对77例胆囊功能不良患者（研究组）和22例胆囊功能正常者（正常对照组）进行检查，获取造影剂到达时间（AT）、灌注时间（IT）、峰值强度（PI）、基础增强强度（BI）、胆囊壁的增强强度（EI）等参数。然后将研究组经保守治疗后按照排胆分数（GBEF）分为GBEF≥50%和GBEF＜50%两组，观察比较AT、IT、EI的结果。结果研究组的AT、 IT 、EI均明显大于正常对照组，差异均有统计学意义（t分别=3.07、2.88、3.21，P均＜0.05）。研究组内GBEF≥50%亚组的AT、 IT 、EI均明显大于GBEF＜50%亚组，差异均有统计学意义（t分别=2.77、3.53、4.20，P均＜0.05）。结论超声微泡造影对评价胆囊功能不良患者保守治疗的预后及选择治疗方式上具有较大的参考价值。
목적：관찰담낭공능불량환자초성미포조영정황，위담낭절제수술술전적평고작일정적삼고。방법채용초성미포조영대77례담낭공능불량환자（연구조）화22례담낭공능정상자（정상대조조）진행검사，획취조영제도체시간（AT）、관주시간（IT）、봉치강도（PI）、기출증강강도（BI）、담낭벽적증강강도（EI）등삼수。연후장연구조경보수치료후안조배담분수（GBEF）분위GBEF≥50%화GBEF＜50%량조，관찰비교AT、IT、EI적결과。결과연구조적AT、 IT 、EI균명현대우정상대조조，차이균유통계학의의（t분별=3.07、2.88、3.21，P균＜0.05）。연구조내GBEF≥50%아조적AT、 IT 、EI균명현대우GBEF＜50%아조，차이균유통계학의의（t분별=2.77、3.53、4.20，P균＜0.05）。결론초성미포조영대평개담낭공능불량환자보수치료적예후급선택치료방식상구유교대적삼고개치。
Objective To observe the microbubble contrast enhanced ultrasound situation of gallbladder dysfunction and provide the reference for pre-operation evaluating of cholecystectomy. Methods A total of 77 patients with gallbladder dysfunction and 22 cases with normal gallbladder function were detected by microbubble contrast enhanced ultrasound to obtain arrival time (AT), irrigating time (IT),peak intensity (PI),basic intensity (BI) and enhanced intensity (EI). The study groups were divided into the GBEF≥50% subgroup and the GBEF<50% subgroup according to the emptying frac-tion, and the AT, IT and EI were further compared in the subgroup. Results In the study group, The AT,IT,EI were significantly higher than the normal group(t=3.07,2.88,3.21,P<0.05). In the GBEF≥50%subgroup, the AT,IT,EI were significantly higher than those of GBEF<50% subgroup (t=2.77, 3.53, 4.20,P<0.05). Conclusion The microbubble contrast enhanced ultrasound has great value for estimating the prognosis and choosing treatment methods.