Pimanov S I
Ter Arkh. 1990;62(2):82-4.
To raise the accuracy of ultrasonic diagnosis of chronic cholecystitis, it is suggested that the choleretic test designed by the author may be used, making it possible to study gallbladder extensibility. As many as 124 patients with chronic cholecystitis and 50 healthy persons were examined. In 63 patients, the diagnosis was verified morphologically after cholecystectomies. Chronic cholecystitis patients demonstrated the lowering of gallbladder extensibility, especially after atropine administration preceded by the use of dehydrocholic acid. Echography with the use of the choleretic test considerably raises the accuracy, efficacy, specificity and sensitivity of ultrasonic diagnosis of chronic cholecystitis.
为提高慢性胆囊炎超声诊断的准确性,建议采用作者设计的利胆试验,以研究胆囊的可扩张性。对124例慢性胆囊炎患者和50例健康人进行了检查。63例患者在胆囊切除术后经形态学证实诊断。慢性胆囊炎患者胆囊可扩张性降低,尤其是在使用去氢胆酸后给予阿托品时。使用利胆试验的超声检查大大提高了慢性胆囊炎超声诊断的准确性、有效性、特异性和敏感性。